Individual
GLOTI MARITA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5278 DAWES AVENUE, ALEXANDRIA, VA 22311-1404
(703) 671-3185
(703) 671-9285
Mailing address
5278 DAWES AVENUE, ALEXANDRIA, VA 22311-1404
(703) 671-3185
(703) 671-9285
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101054609
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006732551
—
VA
01
—
234981
HEALTH KEEPERS PLUS MEDIC
VA
01
—
283317
AMERIGROUP MEDICAID
VA
Enumeration date
08/12/2006
Last updated
09/28/2011
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