Provider Demographics
NPI:1396743183
Name:GONIN, JOYCE MARGARET (MD)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:MARGARET
Last Name:GONIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:JOYCE
Other - Middle Name:MARGARET
Other - Last Name:GONIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3301 NEW MEXICO AVE NW
Mailing Address - Street 2:STE 202
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3627
Mailing Address - Country:US
Mailing Address - Phone:202-243-0271
Mailing Address - Fax:202-537-0075
Practice Address - Street 1:3301 NEW MEXICO AVE NW
Practice Address - Street 2:SUITE 201
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3622
Practice Address - Country:US
Practice Address - Phone:202-243-0271
Practice Address - Fax:202-537-0075
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-14
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC31185207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F74259Medicare UPIN
DC000S05G65Medicare PIN