Provider Demographics
NPI:1447413885
Name:CORBO, JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:CORBO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:110 PLEASANT ST NW
Mailing Address - Street 2:BIRCH C
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-4308
Mailing Address - Country:US
Mailing Address - Phone:703-255-3406
Mailing Address - Fax:703-255-3409
Practice Address - Street 1:110 PLEASANT ST NW
Practice Address - Street 2:BIRCH C
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4308
Practice Address - Country:US
Practice Address - Phone:703-255-3406
Practice Address - Fax:703-255-3409
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA010100295122084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine