Provider Demographics
NPI:1205169489
Name:LOUDEN, JOSEPH GREGORY JR (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:GREGORY
Last Name:LOUDEN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2901 TELESTAR CT STE 300
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-1263
Mailing Address - Country:US
Mailing Address - Phone:703-591-1688
Mailing Address - Fax:703-591-1445
Practice Address - Street 1:120B N MAPLE AVE
Practice Address - Street 2:
Practice Address - City:PURCELLVILLE
Practice Address - State:VA
Practice Address - Zip Code:20132-3180
Practice Address - Country:US
Practice Address - Phone:703-723-8664
Practice Address - Fax:703-226-5696
Is Sole Proprietor?:No
Enumeration Date:2009-09-06
Last Update Date:2024-12-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101249620207RC0000X, 207RC0000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program