Provider Demographics
NPI:1407207418
Name:STAPLETON, JOSEPH E JR (RD LDN)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:E
Last Name:STAPLETON
Suffix:JR
Gender:M
Credentials:RD LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9607 REISTERSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4129
Mailing Address - Country:US
Mailing Address - Phone:443-213-8482
Mailing Address - Fax:
Practice Address - Street 1:9607 REISTERSTOWN RD
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4129
Practice Address - Country:US
Practice Address - Phone:443-213-8482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-30
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86012528133V00000X
MDDX3961133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered