Provider Demographics
NPI:1417000332
Name:FEDERBUSH, JOEL S (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:S
Last Name:FEDERBUSH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:16 ARCADIAN WAY
Mailing Address - Street 2:SUITE C2
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1291
Mailing Address - Country:US
Mailing Address - Phone:201-845-9800
Mailing Address - Fax:201-845-8663
Practice Address - Street 1:16 ARCADIAN WAY
Practice Address - Street 2:SUITE C2
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-1291
Practice Address - Country:US
Practice Address - Phone:201-845-9800
Practice Address - Fax:201-845-8663
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA539142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry