Provider Demographics
NPI:1467539379
Name:WHITE, JOSEPH ARTHUR (DO)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ARTHUR
Last Name:WHITE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:649 SOUTH AVE
Mailing Address - Street 2:STE 4
Mailing Address - City:SECANE
Mailing Address - State:PA
Mailing Address - Zip Code:19018-3541
Mailing Address - Country:US
Mailing Address - Phone:856-783-0204
Mailing Address - Fax:856-783-9606
Practice Address - Street 1:215 E LAUREL RD
Practice Address - Street 2:STE 202
Practice Address - City:STRATFORD
Practice Address - State:NJ
Practice Address - Zip Code:08084-1361
Practice Address - Country:US
Practice Address - Phone:856-783-0204
Practice Address - Fax:856-783-9606
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMB0066720207Q00000X
PAPA05008396L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0010829OtherAETNA
NJ0125813000OtherAMERIHEALTH
NJ0125813001OtherKEYSTONE AMERIHEALTH
NJ60012486OtherHORIZON NJ HEALTH
NJP3016530OtherOXFORD HEALTH PLANS
NJ0125813000OtherMEDICARE ADVANTAGE
NJ439381OtherAMERIHEALTH, KEYSTONE, INDEPENDENCE BLUE CROSS, PENNSYLVANIA BLUE CROSS
NJ2206604OtherUNITED HEALTHCARE
NJ7488807Medicaid
NJ0125813001OtherMEDICARE ADVANTAGE - KEYSTONE
NJ027702Medicare PIN
NJ0125813001OtherMEDICARE ADVANTAGE - KEYSTONE