Doctor Name: | GLORIA ANN GROVER |
NPI Number: | 1043295447 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 0101047406 |
Business Practice Address: | 8640 Sudley Road Suite 303 Manassas, VA - 201104404 |
Business Phone Number: | 7033617778 |
Business Fax Number: | 7033926231 |
Mailing Address: | 8640 Sudley Road, Suite 303 MANASSAS |
State: | VA |
Postal Code: | 201104404 |
Phone Number: | 7033617778 |
Fax Number: | 7033926231 |
NPI Enumeration Date: | 12/08/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 0101047406 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |