MEDICARE: VICTOR G MCGLAUGHLIN JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD426900	PA
2	207Q00000X	Family Medicine Physician	D0071582	MD

General Provider Information

NPI Number	:	1033191564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTOR G MCGLAUGHLIN JR. M.D.

Provider Business Mailing Address
First Line	:	5000 COX RD
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-9263
Country	:	US
Telephone Number	:	804-968-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	5100 EASTERN AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21224-2772
Country	:	US
Telephone Number	:	410-814-4500
Fax Number	:	410-814-8600

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	02/23/2022

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