Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | D75257 | MD |
NPI | 1053519983 |
---|---|
Provider Name | Dr. Natalia O Glebova |
First Address | Rocvkille, MD 20852-4908 |
Second Address | Rockville, MD 20852-4908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 24/01/2022 |