Provider Demographics
NPI:1033573423
Name:ENEL JOSEPH
Entity Type:Organization
Organization Name:ENEL JOSEPH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTRED NURES
Authorized Official - Prefix:
Authorized Official - First Name:ENEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-864-0165
Mailing Address - Street 1:7 ROOSEVELT CT
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-2404
Mailing Address - Country:US
Mailing Address - Phone:781-864-0165
Mailing Address - Fax:
Practice Address - Street 1:7 ROOSEVELT CT
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-2404
Practice Address - Country:US
Practice Address - Phone:781-864-0165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-11
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAS63272648251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health