Individual
DR. JOANNA M. BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
41816 FENWAY CIR, ASHBURN, VA 20148-8069
(347) 761-7200
Mailing address
41816 FENWAY CIR, ASHBURN, VA 20148-8069
(347) 761-7200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101259225
VA
207R00000X
Internal Medicine Physician
ME116776
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012948100
—
FL
01
—
P01396279
RAILROAD MEDICARE PROVIDER NUMBER
FL
Enumeration date
02/18/2007
Last updated
12/01/2015
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