Provider Demographics
NPI:1568464105
Name:LABOW, JOEL CLAYTON (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:CLAYTON
Last Name:LABOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10234 ARIZONA CIR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1242
Mailing Address - Country:US
Mailing Address - Phone:301-295-5178
Mailing Address - Fax:301-295-6173
Practice Address - Street 1:DEPT.OF PEDIATRICS, NATIONAL NAVAL MEDICAL CENTER
Practice Address - Street 2:8901 WISCONSIN AVENUE
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-5178
Practice Address - Fax:301-295-6173
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0026315208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics