Basic Information
Provider Information
NPI: 1295151611
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KESSLER
FirstName: JOSHUA
MiddleName: MICHAEL
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8901 ROCKVILLE PIKE
Address2: EMERGENCY DEPARTMENT
City: BETHESDA
State: MD
PostalCode: 20819
CountryCode: US
TelephoneNumber: 3012954810
FaxNumber:  
Practice Location
Address1: 8901 ROCKVILLE PIKE
Address2:  
City: BETHESDA
State: MD
PostalCode: 208890001
CountryCode: US
TelephoneNumber: 3012954810
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/10/2014
LastUpdateDate: 03/08/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/08/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XH84475MDN Allopathic & Osteopathic PhysiciansEmergency Medicine 
171000000XH84475MDY Other Service ProvidersMilitary Health Care Provider 

No ID Information.


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