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Dr. Mallory J. Read JR., MD
General Practice Physician in Norfolk, Virginia
NPI 1598998189

Mallory J. Read JR. is a General Practice Physician based in Norfolk, VA. Mallory J. Read JR. practices in Norfolk, VA and has the professional credentials of MD. The NPI Number for Mallory J. Read JR. is 1598998189 and holds a License No. 0101020651 (Virginia).

The current practice location address for Mallory J. Read JR. is 551 Warren Cres, Norfolk, VA and can be reached out via phone at 757-622-8925.

Location: 551 Warren Cres, Norfolk, VA, 23507-2128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598998189
Provider Name
Mallory J. Read JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
551 Warren Cres, Norfolk, VA, 23507-2128
Phone Number
757-622-8925
Fax Number
Provider Enumeration Date
08/28/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0101020651 01 VA VIRGINIA LICENSE MEDICINE AND SURGERY
institution
Provider Business Practice Location Address Details
Address
551 Warren Cres
City
Norfolk
State
Virginia
Zip
23507-2128
Phone Number
757-622-8925
Fax Number
person
Provider Business Mailing Address Details
Address
551 Warren Cres
City
Norfolk
State
Virginia
Zip
23507-2128
Phone Number
757-622-8925
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0101020651 (Virginia)
Definition
Definition to come...
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