# JACOB T JOSEPH MD PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457472391
- **Authorized official:** DR. JACOB T JOSEPH MD (PRESIDENT)
- **Authorized official phone:** (703) 273-4762

## Contact information

- **Practice address:** 10721 MAIN ST, SUITE 1100, FAIRFAX, VA 22030-6914
- **Practice address phone:** (703) 273-4762
- **Practice address fax:** (703) 591-7719
- **Mailing address:** 10721 MAIN ST, SUITE 1100, FAIRFAX, VA 22030-6914
- **Mailing address phone:** (703) 273-4762
- **Mailing address fax:** (703) 591-7719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 0101034461 | VA | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 08/22/2020