Individual
JOHN WILLIAM JOSEPHSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3998 FAIR RIDGE DR STE 105, FAIRFAX, VA 22033-2980
(571) 349-2191
(571) 349-2211
Mailing address
3903 FAIR RIDGE DR, SUITE 209, FAIRFAX, VA 22033-2943
(571) 349-2191
(571) 349-2211
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101252106
VA
207W00000X
Ophthalmology Physician
A115946
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2008
Last updated
12/10/2018
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