Healthcare Provider Details

I. General information

NPI: 1902128697
Provider Name (Legal Business Name): HERBERT H. JOSEPH, M.D., F.A.C.S., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2010
Last Update Date: 02/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10301 GEORGIA AVE SUITE 303
SILVER SPRING MD
20902-5020
US

IV. Provider business mailing address

10301 GEORGIA AVE SUITE 303
SILVER SPRING MD
20902-5020
US

V. Phone/Fax

Practice location:
  • Phone: 301-593-4802
  • Fax: 301-593-4805
Mailing address:
  • Phone: 301-593-4802
  • Fax: 301-593-4805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberD0020471
License Number StateMD

VIII. Authorized Official

Name: DR. HERBERT H. JOSEPH
Title or Position: PRESIDENT
Credential:
Phone: 301-593-4802