Provider Demographics
NPI:1730170853
Name:ROSER, JOHN F JR (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:ROSER
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:4375 FAIR LAKES CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-4234
Mailing Address - Country:US
Mailing Address - Phone:571-432-2600
Mailing Address - Fax:571-432-2795
Practice Address - Street 1:4375 FAIR LAKES CT
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-4234
Practice Address - Country:US
Practice Address - Phone:571-432-2600
Practice Address - Fax:571-432-2795
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2022-04-14
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Provider Licenses
StateLicense IDTaxonomies
VA0102201281207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine