Basic Information
Provider Information
NPI: 1336239268
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JOYCE
FirstName: MARIA
MiddleName: J
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: SERVICE 113, MICROBIOLOGY
Address2: DURHAM VA MEDICAL CENTER
City: DURHAM
State: NC
PostalCode: 27705
CountryCode: US
TelephoneNumber: 9192860411
FaxNumber:  
Practice Location
Address1: 508 FULTON STREET
Address2: DURHAM VA MEDICAL CENTER, MICROBIOLOGY, SERVICE 113
City: DURHAM
State: NC
PostalCode: 277050000
CountryCode: US
TelephoneNumber: 9192860411
FaxNumber: 9192866818
Other Information
ProviderEnumerationDate: 10/13/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200X9701784NCY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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