Individual
JOSHUA E EASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-5348
(434) 244-9474
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101283015
VA
207Q00000X
Family Medicine Physician
036.161353
IL
Other
Enumeration date
06/15/2017
Last updated
07/10/2024
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