Provider Demographics
NPI:1770976078
Name:NIEDERHUBER, JOHN EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:EDWARD
Last Name:NIEDERHUBER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3300 GALLOWS ROAD FLOOR 2
Mailing Address - Street 2:CLAUDE MOORE BLDG.; INOVA TRANSLATIONAL MEDICINE INST.
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042
Mailing Address - Country:US
Mailing Address - Phone:703-776-7919
Mailing Address - Fax:703-776-7177
Practice Address - Street 1:3300 GALLOWS ROAD; FLOOR 2, CLAUDE MOORE BLDG.
Practice Address - Street 2:INOVA HEALTH CARE SERVICES; DBA INOVA FAIRFAX HOSPITAL
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042
Practice Address - Country:US
Practice Address - Phone:703-776-7919
Practice Address - Fax:703-776-7177
Is Sole Proprietor?:No
Enumeration Date:2015-03-11
Last Update Date:2015-03-11
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Provider Licenses
StateLicense IDTaxonomies
VA01012531012086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology