Provider Demographics
NPI:1811996564
Name:ENRIGHT, ROSEMARY THERESA (MD)
Entity type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:THERESA
Last Name:ENRIGHT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:856 J CLYDE MORRIS BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 MT CLEMENT PARK
Practice Address - Street 2:SUTIE A
Practice Address - City:TAPPAHANNOCK
Practice Address - State:VA
Practice Address - Zip Code:22560-5098
Practice Address - Country:US
Practice Address - Phone:804-443-8610
Practice Address - Fax:804-443-8620
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2014-01-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101032450207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB07099Medicare UPIN
VA080002015Medicare PIN