Provider Demographics
NPI:1033191564
Name:MCGLAUGHLIN, VICTOR G JR (MD)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:G
Last Name:MCGLAUGHLIN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 COX RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-9263
Mailing Address - Country:US
Mailing Address - Phone:804-968-5700
Mailing Address - Fax:
Practice Address - Street 1:5100 EASTERN AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-2772
Practice Address - Country:US
Practice Address - Phone:410-814-4500
Practice Address - Fax:410-814-8600
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD426900207Q00000X
MDD0071582207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD228904ZDDBMedicare PIN
DC342152YWV2Medicare PIN
MD228904YVZMedicare PIN
PA7638691OtherAETNA NON-HMO
PA093344JZEMedicare PIN
MD228904YVZ - 945LMedicare PIN
MD228904ZDDB - 149619Medicare PIN
PA1130434OtherAETNA HMO
PA50063462OtherCAPITAL BLUE CROSS
PAI37169Medicare UPIN
PA69621 S1QEOtherGEISINGER HEALTH PLAN
PA1013910360001Medicaid
PAP00292340OtherRAILROAD MEDICARE
PA50052393OtherCAPITAL BLUE CROSS
PA093344G21Medicare PIN
PA093344GEDMedicare PIN
PAI37169OtherHEALTH ASSURANCE