Organization
NORA D. JOSE, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORA DOCTOR JOSE M.D. (OWNER)
(703) 360-0300
Entity
Organization
Contact information
Practice address
2616 SHERWOOD HALL LN, STE.404, ALEXANDRIA, VA 22306-3100
(703) 360-0300
(703) 799-7074
Mailing address
2616 SHERWOOD HALL LN, STE.404, ALEXANDRIA, VA 22306-3100
(703) 360-0300
(703) 799-7074
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
0101022607
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006742173
—
VA
01
—
080748
BLUE CROSS BLUE SHIELD
VA
01
—
10231496
AMERIGROUP
VA
01
—
4052942
AETNA
VA
01
—
4996
CAREFIRST BLUECROSS BLUESHIELD
VA
Enumeration date
06/06/2008
Last updated
06/06/2008
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