Individual
DR. JOHN MICHAEL JOLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8116 GOOD LUCK RD STE 200, LANHAM, MD 20706-3508
(301) 599-9500
(301) 552-7483
Mailing address
7404 EXECUTIVE PL STE 350, LANHAM, MD 20706-6268
(301) 599-9500
(240) 542-2959
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D0028936
MD
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
MD18198
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58441000
—
MD
Enumeration date
09/13/2005
Last updated
03/26/2019
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