Provider Demographics
NPI:1073585089
Name:CONTI, JOSEPH D (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:D
Last Name:CONTI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:640 KOLTER DR
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3570
Mailing Address - Country:US
Mailing Address - Phone:724-357-7196
Mailing Address - Fax:724-357-7279
Practice Address - Street 1:1265 WAYNE AVE
Practice Address - Street 2:STE 103
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3501
Practice Address - Country:US
Practice Address - Phone:724-463-1046
Practice Address - Fax:724-463-2314
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2022-03-04
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Provider Licenses
StateLicense IDTaxonomies
PAMD020181E208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1027919630001Medicaid
PA156391NWBMedicare PIN