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Individual

JOSEPH W MUSGRAVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1139 PROFESSIONAL DR, WILLIAMSBURG, VA 23185-3329
(757) 220-2266
Mailing address
112 PINEPOINT RD, WILLIAMSBURG, VA 23185-4436
(757) 229-6552

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101024688
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5950902
VA
05
5955807
VA
Enumeration date
07/10/2006
Last updated
12/21/2009
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