Provider Demographics
NPI:1417294224
Name:CYRIL JOSEPH MDPC
Entity Type:Organization
Organization Name:CYRIL JOSEPH MDPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CYRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-577-8745
Mailing Address - Street 1:6105 OAKENGATEWAY
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20120-1160
Mailing Address - Country:US
Mailing Address - Phone:703-577-8745
Mailing Address - Fax:703-471-1173
Practice Address - Street 1:6105 OAKENGATEWAY
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20120-1160
Practice Address - Country:US
Practice Address - Phone:703-577-8745
Practice Address - Fax:703-471-1173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101223436207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty