Provider Demographics
NPI:1659429298
Name:KING, JOSEPHINE CATHERINE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPHINE
Middle Name:CATHERINE
Last Name:KING
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 1:7603 GEORGIA AVE NW
Mailing Address - Street 2:SUITE 101 JOSEPHINE C KING MD
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012
Mailing Address - Country:US
Mailing Address - Phone:202-726-3331
Mailing Address - Fax:202-722-9550
Practice Address - Street 1:7603 GEORGIA AVE NW
Practice Address - Street 2:SUITE 101 JOSEPHINE C KING MD
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012
Practice Address - Country:US
Practice Address - Phone:202-726-3331
Practice Address - Fax:202-722-9550
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC9160207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC191858Medicare ID - Type Unspecified
D66448Medicare UPIN