Dr. Charles A. Bullaboy
M.D. | Pediatric Cardiology | Male
Dr. Charles A. Bullaboy, M.D. is a Norfolk, Virginia based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Dr. Charles A. Bullaboy is
601 Childrens Ln, Norfolk, Virginia - 23507-1910. He can be contacted on phone at
757-668-7213 and fax number 757-668-8225.
Dr. Charles A. Bullaboy is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Charles A. Bullaboy is
1699724245 which was assigned by NPPES on 10 May, 2006 and it was last updated on 29 Nov, 2012.
Dr. Charles A. Bullaboy license number is
0101028010 for Pediatrics Pediatric Cardiology (2080P0202X) in Virginia.
Dr. Charles A. Bullaboy provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Dr. Charles A. Bullaboy basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Dr. Charles A. Bullaboy |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Charles A. Bullaboy address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 601 Childrens Ln
Norfolk, VA, 23507-1910
United States |
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| Phone Number : | 757-668-7213 |
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| Fax Number : | 757-668-8225 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1699724245 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 May, 2006 |
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| Last Updated On : | 29 Nov, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Charles A. Bullaboy are as mentioned. Primary taxonomy code for Dr. Charles A. Bullaboy, M.D. is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 0101058010 | VA |
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | 0101028010 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Charles A. Bullaboy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 7905245 | MEDICAID | NC | |
| 0016948820001 | MEDICAID | PA | |
| 0197625000 | MEDICAID | WV | |
| 006722296 | MEDICAID | VA | |
| 119541700 | MEDICAID | MD | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 79137
Baltimore, MD, 21279-0137
United States |
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| Phone Number : | 757-668-7200 |
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| Fax Number : | 757-668-9691 |
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Business Location:
Patients can refer following map for directions to
Dr. Charles A. Bullaboy practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.