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Individual
MARK JOSEPH
Active
Individual
MARK JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101-256570
VA
2086S0102X
Surgical Critical Care Physician
0101-256570
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101-256570
VA
Other
Enumeration date
04/25/2007
Last updated
12/11/2020
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