Individual
DR. JOSEPH G SERVIDEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 HOSPITAL DR, WARRENTON, VA 20186-3027
(540) 349-0595
Mailing address
PO BOX 223323, CHANTILLY, VA 20153-3323
(540) 349-0595
(540) 349-0587
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
0101026570
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010055555
—
VA
05
—
6019951
—
VA
Enumeration date
07/28/2006
Last updated
05/06/2008
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