Provider Demographics
NPI:1447254230
Name:BALL, JOSEPH A (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:A
Last Name:BALL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:16220 FREDERICK RD
Mailing Address - Street 2:STE 213
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-4039
Mailing Address - Country:US
Mailing Address - Phone:301-963-2770
Mailing Address - Fax:301-258-0083
Practice Address - Street 1:16220 FREDERICK RD
Practice Address - Street 2:STE 213
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-4039
Practice Address - Country:US
Practice Address - Phone:301-963-2770
Practice Address - Fax:301-258-0083
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2009-11-25
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Provider Licenses
StateLicense IDTaxonomies
MDD0053317207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDF31609Medicare UPIN