Individual
JOSEPH JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
825 FAIRFAX AVE, SUITE 118, NORFOLK, VA 23507-1914
(757) 446-5955
(757) 446-5196
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-5955
(757) 446-5196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001755
VA
363A00000X
Physician Assistant
023550
NY
Other
Enumeration date
05/05/2006
Last updated
08/15/2019
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