Provider Demographics
NPI:1326288960
Name:JOSEPH D SCALIA MD
Entity Type:Organization
Organization Name:JOSEPH D SCALIA MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCALIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-675-9352
Mailing Address - Street 1:189 BERDAN AVE
Mailing Address - Street 2:401
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-3233
Mailing Address - Country:US
Mailing Address - Phone:201-675-9352
Mailing Address - Fax:
Practice Address - Street 1:110B MEADOWLANDS PKWY
Practice Address - Street 2:STE 302
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094-2308
Practice Address - Country:US
Practice Address - Phone:201-675-9352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty