Provider Demographics
NPI:1689929655
Name:TORNO, JOSEPHINE ANNE MELOCOTON (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPHINE ANNE
Middle Name:MELOCOTON
Last Name:TORNO
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 1:3903 FAIR RIDGE DR STE 218
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-2945
Mailing Address - Country:US
Mailing Address - Phone:703-382-5776
Mailing Address - Fax:
Practice Address - Street 1:3903 FAIR RIDGE DR STE 218
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-2945
Practice Address - Country:US
Practice Address - Phone:703-382-5776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-17
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT53931207Q00000X
VA0101272296207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine