Individual provider · NPI-1

Dr. Joanna M. Bock, M.D.

Internal Medicine · Ashburn, VA

NPI number1780728188
StatusActive
Last updated in NPPESDec 1, 2015

Details

NPI
1780728188
Entity type
Individual (NPI-1)
Name
Dr. Joanna M. Bock
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Feb 18, 2007
Last updated
Dec 1, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine0101259225VAYes
207R00000X Internal MedicineME116776FL

Practice location

41816 Fenway Cir
Ashburn, VA 20148-8069

Phone 347-761-7200

Mailing address

41816 Fenway Cir
Ashburn, VA 20148-8069

Phone 347-761-7200

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