Provider Demographics
NPI:1508948944
Name:TEMME, JOEL M (MD)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:M
Last Name:TEMME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4660 KENMORE AVE
Mailing Address - Street 2:SUITE 604
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-1313
Mailing Address - Country:US
Mailing Address - Phone:703-823-8300
Mailing Address - Fax:703-823-5532
Practice Address - Street 1:4660 KENMORE AVE STE 604
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-1300
Practice Address - Country:US
Practice Address - Phone:703-823-8300
Practice Address - Fax:703-823-5532
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2009-11-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101037940207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB446-0001OtherCAREFIRST BCBS
VA110122323OtherRAILROAD MEDICARE
VA110122323OtherRAILROAD MEDICARE
VAB92956Medicare UPIN