Provider Demographics
NPI:1003131038
Name:JOSEPH, JOHN K (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:K
Last Name:JOSEPH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:535 E CRESCENT AVE
Mailing Address - Street 2:C/O HISTOPATHOLOGY SERVICES, LLC
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-2922
Mailing Address - Country:US
Mailing Address - Phone:201-661-7280
Mailing Address - Fax:201-661-7297
Practice Address - Street 1:535 E CRESCENT AVE
Practice Address - Street 2:HISTOPATHOLOGY SERVICES, LLC
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-2922
Practice Address - Country:US
Practice Address - Phone:201-661-7280
Practice Address - Fax:201-661-7297
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2013-09-12
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Provider Licenses
StateLicense IDTaxonomies
TXN5136207ZP0102X
NY263166207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400057960Medicare PIN