Basic Information
Provider Information
NPI: 1033505342
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MULLER
FirstName: JOSEPH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2306 ASHBORO DR
Address2:  
City: CHEVY CHASE
State: MD
PostalCode: 208153048
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 4414 BENNING RD NE
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200194555
CountryCode: US
TelephoneNumber: 2024694699
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/13/2015
LastUpdateDate: 07/13/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/13/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RA0401XMD048514DCN Allopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
208000000XMD048514DCN Allopathic & Osteopathic PhysiciansPediatrics 
207R00000XMD048514DCY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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