Provider Demographics
NPI:1235398157
Name:JOSEPH, RAYMOND E (MD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:E
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MRS
Other - First Name:REGINA
Other - Middle Name:
Other - Last Name:JOSEPH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1618 WINSTON RD
Mailing Address - Street 2:
Mailing Address - City:GLADWYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19035-1252
Mailing Address - Country:US
Mailing Address - Phone:610-896-1773
Mailing Address - Fax:610-896-1773
Practice Address - Street 1:1618 WINSTON RD
Practice Address - Street 2:
Practice Address - City:GLADWYNE
Practice Address - State:PA
Practice Address - Zip Code:19035-1252
Practice Address - Country:US
Practice Address - Phone:610-896-1773
Practice Address - Fax:610-896-1773
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD0175E282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital