Provider Demographics
NPI:1043233703
Name:BUCHINO, JOSEPH JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JOHN
Last Name:BUCHINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7308
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-0308
Mailing Address - Country:US
Mailing Address - Phone:800-292-1387
Mailing Address - Fax:502-456-4440
Practice Address - Street 1:1625 N GEORGE MASON DR
Practice Address - Street 2:PATHOLOGY DEPT
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3683
Practice Address - Country:US
Practice Address - Phone:703-558-5499
Practice Address - Fax:703-558-6251
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101052192207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006601774Medicaid
1100207OtherUNITED HEALTHCARE
220017497OtherRAILROAD MEDICARE
VA290301OtherANTHEM BLUE CROSS BS
339539OtherOPTIMUM CHOICE
506845OtherNATIONAL CAPITAL PPO
VA490050CC70072OtherSECTION 1011 MEDICARE
DC033008500Medicaid
16699OtherGEORGE WASHINGTON UNIV
DC962465316OtherWORKERS COMP DC
DC1022-0001OtherCAREFIRST BLUE CROSS BS
339539OtherMAMSI
1305167OtherUNITED MINE WORKERS
339539OtherMDIPA
MD589902800Medicaid
MD589902800Medicaid
VA500191J66Medicare PIN