Provider Demographics
NPI:1346588084
Name:JOSEPH, IRENE SARAH (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:IRENE
Middle Name:SARAH
Last Name:JOSEPH
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:800 SPRUCE ST
Mailing Address - Street 2:1PINE WEST
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5167
Mailing Address - Country:US
Mailing Address - Phone:678-646-4327
Mailing Address - Fax:
Practice Address - Street 1:550 PEACHTREE ST NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2208
Practice Address - Country:US
Practice Address - Phone:404-686-6730
Practice Address - Fax:404-686-4837
Is Sole Proprietor?:No
Enumeration Date:2013-01-30
Last Update Date:2016-08-01
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical