Provider Demographics
NPI:1083841282
Name:JOSEPH, MARIA E (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:E
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:MARIA
Other - Middle Name:E
Other - Last Name:ROGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 BROOKS LN STE 260
Mailing Address - Street 2:
Mailing Address - City:CLAIRTON
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3750
Mailing Address - Country:US
Mailing Address - Phone:412-469-5914
Mailing Address - Fax:412-469-7004
Practice Address - Street 1:1200 BROOKS LN STE 260
Practice Address - Street 2:
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-3750
Practice Address - Country:US
Practice Address - Phone:412-469-5914
Practice Address - Fax:412-469-7004
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-15
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA053855174400000X
PAOA002362174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist