DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACOB T JOSEPH, M.D.

Active

DR. JACOB T JOSEPH, M.D. is a Adolescent Medicine healthcare provider located in FAIRFAX, Virginia. NPI 1346332939 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine · FAIRFAX, VA

Registration Details

NPI Number
1346332939
Provider Type
Individual
Gender
Male
NPI Issued
Sep 29, 2006 (19.687302453682 yrs)
Last Updated
Jul 8, 2007
License
0101034461 (VA)

Practice Information

Address
10721 MAIN ST
SUITE 1100
FAIRFAX, VA, 220306914
Browse VA providers · Browse ZIP 22030
Phone
7032734762
Fax
7035917719
Primary Specialty
Adolescent Medicine
207QA0505X

Other Adolescent Medicine Providers in FAIRFAX, VA

Name Credential NPI
MICHELLE LYNN POPE MSN, APRN, FNP-BC 1619583283
MARIAM ALIMI NP 1114510955
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.