Individual
DR. JONATHAN TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 PARKERS LN, ALEXANDRIA, VA 22306-3209
(703) 664-7218
(703) 664-7317
Mailing address
2501 PARKERS LN, ALEXANDRIA, VA 22306-3209
(703) 664-7218
(703) 664-7317
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
0101018915
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5617561
—
VA
01
—
P00061810
RAILROAD MEDICARE
VA
Enumeration date
05/18/2006
Last updated
05/14/2008
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