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NPI Code Detail

MEDICARE: DR. JOHN BERNARD JUNOD M.D.

MEDICARE: DR. JOHN BERNARD JUNOD M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD040084EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205839339
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN BERNARD JUNOD M.D.
Provider Business Mailing Address
First Line : 5000 COX RD
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-9263
Country : US
Telephone Number : 804-968-5700
Fax Number :
Provider Business Practice Location Address
First Line : 75 E STREET RD
Second Line :
City : FEASTERVILLE TREVOSE
State : PA
Zip : 19053-6047
Country : US
Telephone Number : 267-684-1047
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 02/10/2022

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Directions to “ DR. JOHN BERNARD JUNOD M.D.” Practice Location

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