Individual
JOSEPH EDMOND HARTWICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8260 WILLOW OAKS CORPORATE DR STE 400, FAIRFAX, VA 22031-4513
(703) 560-2236
(571) 665-6834
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101258375
VA
2086S0120X
Pediatric Surgery Physician
Primary
0101258375
VA
2086S0120X
Pediatric Surgery Physician
CLP02714
RI
390200000X
Student in an Organized Health Care Education/Training Program
0116018532
VA
Other
Enumeration date
05/22/2007
Last updated
05/24/2022
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