Healthcare Provider Details

I. General information

NPI: 1255491098
Provider Name (Legal Business Name): JOSEPH MICHAEL TONNING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 06/02/2021
Certification Date: 06/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NNMC-OCCUPATIONAL HEALTH 8901 WISCONSIN AVE
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

3901 CONNECTICUT AVE NW APT 401
WASHINGTON DC
20008-2413
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-0786
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License NumberD0044154
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: