Individual
DR. NORA DOCTOR JOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2616 SHERWOOD HALL LN, SUITE 404, ALEXANDRIA, VA 22306-3100
(703) 360-0300
(703) 799-7074
Mailing address
2616 SHERWOOD HALL LN, SUITE 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
01
—
080748
ANTHEM PIN
VA
01
—
283727
AMERIGROUP PIN
VA
Enumeration date
08/19/2006
Last updated
07/09/2007
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