Provider Demographics
NPI:1861462913
Name:ARLUK, GLEN MARC (MD)
Entity Type:Individual
Prefix:DR
First Name:GLEN
Middle Name:MARC
Last Name:ARLUK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1717 WILL O'WISP DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454
Mailing Address - Country:US
Mailing Address - Phone:757-481-4817
Mailing Address - Fax:757-481-7138
Practice Address - Street 1:1101 FIRST COLONIAL RD
Practice Address - Street 2:SUITE 300
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-2409
Practice Address - Country:US
Practice Address - Phone:757-481-4817
Practice Address - Fax:757-481-7138
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2020-04-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101102538207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA10135800Medicaid
I24808Medicare UPIN