MEDICARE: ANDREW B. JOEL MD

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
1	208800000X	Urology Physician	0101230672	VA

General Provider Information

NPI Number	:	1992704340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW B. JOEL MD

Provider Business Mailing Address
First Line	:	1625 NORTH GEORGE MASON DRIVE
Second Line	:	SUITE 415
City	:	ARLINGTON
State	:	VA
Zip	:	22205
Country	:	US
Telephone Number	:	703-717-4200
Fax Number	:	703-717-4201

Provider Business Practice Location Address
First Line	:	1625 NORTH GEORGE MASON DRIVE
Second Line	:	SUITE 415
City	:	ARLINGTON
State	:	VA
Zip	:	22205
Country	:	US
Telephone Number	:	703-717-4200
Fax Number	:	703-717-4201

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	07/10/2014

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