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Individual

DR. KENNETH NEIL JOSOVITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14010 SMOKETOWN RD, SUITE 117, WOODBRIDGE, VA 22192-4704
(703) 580-0181
(703) 897-8763
Mailing address
14010 SMOKETOWN ROAD, SUITE 117, WOODBRIDGE, VA 22192
(703) 580-0181
(703) 897-8763

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101054566
VA
207RG0100X
Gastroenterology Physician
103331
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100394102
WI
05
5858640
VA
Enumeration date
09/20/2005
Last updated
01/20/2026
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