Individual
MR. JOSEPH P GOWATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4117 PLANK RD, FREDERICKSBURG, VA 22407-4888
(540) 785-8018
(888) 398-9051
Mailing address
4117 PLANK RD, FREDERICKSBURG, VA 22407-4888
(540) 785-8018
(888) 398-9051
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110002228
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4330530001
DMERC
—
Enumeration date
12/29/2005
Last updated
07/28/2022
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