Individual
JOEL W MATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6288B ARLINGTON BLVD, FALLS CHURCH, VA 22044-2801
(703) 229-0660
(703) 237-0675
Mailing address
6288B ARLINGTON BLVD, FALLS CHURCH, VA 22044-2801
(703) 229-0660
(703) 237-0675
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101040957
VA
207V00000X
Obstetrics & Gynecology Physician
MD12475
DC
208D00000X
General Practice Physician
0101040957
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0404790
—
DC
05
—
6202136
—
VA
Enumeration date
09/20/2005
Last updated
02/19/2013
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