Individual
DR. JUSTIN P FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MHS
Contact information
Practice address
4301 JONES BRIDGE RD DEPT OF, BETHESDA, MD 20814-4799
(301) 295-4664
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8493
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101244227
VA
208600000X
Surgery Physician
0101244227
VA
208600000X
Surgery Physician
NOT YET ISSUED
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0376539
—
OH
Enumeration date
07/23/2007
Last updated
08/20/2024
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