Provider Demographics
NPI:1639164858
Name:GLEMBOT, TROY M (MD)
Entity type:Individual
Prefix:
First Name:TROY
Middle Name:M
Last Name:GLEMBOT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:220 CAMPUS BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2896
Mailing Address - Country:US
Mailing Address - Phone:540-536-5100
Mailing Address - Fax:540-536-0061
Practice Address - Street 1:1870 AMHERST ST STE F
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2841
Practice Address - Country:US
Practice Address - Phone:540-536-0010
Practice Address - Fax:540-536-0061
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV30165208600000X
VA0101049552208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery