Healthcare Provider Details

I. General information

NPI: 1497000533
Provider Name (Legal Business Name): MARGARET A GLORIA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2012
Last Update Date: 06/20/2022
Certification Date: 06/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3440 S JEFFERSON ST
FALLS CHURCH VA
22041-3145
US

IV. Provider business mailing address

12231 GREEN MEADOW DR
COLUMBIA MD
21044-2863
US

V. Phone/Fax

Practice location:
  • Phone: 703-578-7108
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number0101261315
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: