IndividualActive
Charles Bullaboy, M.D.
NPI 1699724245 · Pediatric Cardiology Physician · Norfolk, VA
Provider details
- NPI number
- 1699724245
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0101028010 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
601 Childrens Ln
Norfolk, VA 23507-1910
Phone: (757) 668-7213
Fax: (757) 668-8225
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 79137
Baltimore, MD 21279-0137
Registry dates
- Enumerated
- 2006-05-10
- Last updated
- 2012-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.