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Individual

DR. JOSEPH JORDAN DAVID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
535 WESTFIELD RD, SUITE 100, CHARLOTTESVILLE, VA 22901
(434) 973-9739
(434) 973-0756
Mailing address
535 WESTFIELD RD, SUITE 100, CHARLOTTESVILLE, VA 22901
(434) 973-9739
(434) 973-0756

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101035365
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
260000521
MEDICARE PTAN
VA
Enumeration date
07/08/2005
Last updated
03/11/2014
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