Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 0401005846 | VA |
NPI | 1184845299 |
---|---|
Provider Name | Dr. Joesph N Nassif |
First Address | Alexandria, VA 22314-2916 |
Second Address | Alexandria, VA 22314-2916 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 08/07/2007 |