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NPI Code Detail

MEDICARE: JOSEPH KENNETH MARSHALL M.D.

MEDICARE:   JOSEPH KENNETH MARSHALL  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
1207RC0000XCardiovascular Disease Physician0101026481VA

General Provider Information

NPI Number : 1912901273
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH KENNETH MARSHALL M.D.
Provider Business Mailing Address
First Line : 1921 FRANKLIN AVE
Second Line :
City : MC LEAN
State : VA
Zip : 22101-5309
Country : US
Telephone Number : 703-533-8004
Fax Number :
Provider Business Practice Location Address
First Line : 2921 11TH ST S
Second Line :
City : ARLINGTON
State : VA
Zip : 22204-0827
Country : US
Telephone Number : 703-979-1425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 04/22/2010

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Directions to “ JOSEPH KENNETH MARSHALL M.D.” Practice Location

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