Healthcare Provider Details

I. General information

NPI: 1740660596
Provider Name (Legal Business Name): JOSEPH BRANDON KAMINSKY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2015
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 M ST NW STE 715 GW MEDICAL FACULTY ASSOCIATES DEPARTMENT OF PATHOLOGY
WASHINGTON DC
20037-1434
US

IV. Provider business mailing address

900 23RD ST NW
WASHINGTON DC
20037-2342
US

V. Phone/Fax

Practice location:
  • Phone: 202-677-6600
  • Fax: 202-677-6601
Mailing address:
  • Phone: 202-994-4665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberMD600004347
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207ZP0007X
TaxonomyMolecular Genetic Pathology (Pathology) Physician
License NumberMD600004347
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License NumberMD600004347
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: