Provider Demographics
NPI:1477758795
Name:POSTHUMUS, JOCELYN S (MD)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:S
Last Name:POSTHUMUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10850 PYRAMID PL
Mailing Address - Street 2:SUITE 121
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-2228
Mailing Address - Country:US
Mailing Address - Phone:703-530-2600
Mailing Address - Fax:
Practice Address - Street 1:10850 PYRAMID PL
Practice Address - Street 2:SUITE 121
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-2228
Practice Address - Country:US
Practice Address - Phone:703-530-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101244638207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology