Individual
VINCENT EDOUARD RETARDO GULLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-3580
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125073772
IL
208M00000X
Hospitalist Physician
Primary
0101274265
VA
Other
Enumeration date
07/01/2019
Last updated
07/19/2022
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