Provider Demographics
NPI:1073278297
Name:LABELL, JOSEPH CLAUDE JR (MHS, PA-C)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:CLAUDE
Last Name:LABELL
Suffix:JR
Gender:M
Credentials:MHS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 WOODS AVE
Mailing Address - Street 2:
Mailing Address - City:STANHOPE
Mailing Address - State:NJ
Mailing Address - Zip Code:07874-2002
Mailing Address - Country:US
Mailing Address - Phone:973-219-7634
Mailing Address - Fax:
Practice Address - Street 1:1301 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:CT
Practice Address - Zip Code:06010-4776
Practice Address - Country:US
Practice Address - Phone:860-589-4501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5468363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant