Healthcare Provider Details

I. General information

NPI: 1073838926
Provider Name (Legal Business Name): GLORIA T TOO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2010
Last Update Date: 06/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 FAIRFAX AVE SUITE 310
NORFOLK VA
23507-1914
US

IV. Provider business mailing address

PO BOX 936
NORFOLK VA
23501-0936
US

V. Phone/Fax

Practice location:
  • Phone: 757-446-7900
  • Fax: 757-446-7464
Mailing address:
  • Phone: 757-446-7900
  • Fax: 757-446-7464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number0101262113
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: