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Individual

JOSHUA PAUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5269
Mailing address
4322 GOLDEN EAGLE PT, PORTSMOUTH, VA 23703-5374

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101248215
VA

Other

Enumeration date
09/14/2009
Last updated
01/11/2012
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