Provider Demographics
NPI:1699781609
Name:OPPENHEIM, JOSHUA P (MD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:P
Last Name:OPPENHEIM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8314 TRAFORD LN
Mailing Address - Street 2:C
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-1651
Mailing Address - Country:US
Mailing Address - Phone:703-644-7804
Mailing Address - Fax:703-644-1508
Practice Address - Street 1:8314 TRAFORD LN
Practice Address - Street 2:C
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-1651
Practice Address - Country:US
Practice Address - Phone:703-644-7804
Practice Address - Fax:703-644-1508
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2016-03-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101041329207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA040000450Medicare PIN
VA0P567990Medicare PIN
VAE23110Medicare UPIN