Provider Demographics
NPI:1326279936
Name:JOSEPH STRAUCH M.D.F.A.A.D.P.A
Entity Type:Organization
Organization Name:JOSEPH STRAUCH M.D.F.A.A.D.P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:MEYER
Authorized Official - Last Name:STRAUCH
Authorized Official - Suffix:
Authorized Official - Credentials:MDFAADPA
Authorized Official - Phone:732-549-2448
Mailing Address - Street 1:3 LINCOLN HWY
Mailing Address - Street 2:SUITE 305
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3963
Mailing Address - Country:US
Mailing Address - Phone:732-549-2448
Mailing Address - Fax:732-549-6891
Practice Address - Street 1:3 LINCOLN HWY
Practice Address - Street 2:SUITE 305
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3963
Practice Address - Country:US
Practice Address - Phone:732-549-2448
Practice Address - Fax:732-549-6891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ31407174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJDO6614Medicare UPIN
455836Medicare PIN