Organization
JACOB T JOSEPH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB T JOSEPH MD (PRESIDENT)
(703) 273-4762
Entity
Organization
Contact information
Practice address
10721 MAIN ST, SUITE 1100, FAIRFAX, VA 22030-6914
(703) 273-4762
(703) 591-7719
Mailing address
10721 MAIN ST, SUITE 1100, FAIRFAX, VA 22030-6914
(703) 273-4762
(703) 591-7719
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
0101034461
VA
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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