Provider Demographics
NPI:1487631925
Name:MAJSTORAVICH, JOSEPH JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:MAJSTORAVICH
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JOSEPH
Other - Middle Name:
Other - Last Name:MAJSTORAVICH
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:300 MEDICAL PARK CT
Mailing Address - Street 2:BUILDING #18
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-4346
Mailing Address - Country:US
Mailing Address - Phone:252-726-0411
Mailing Address - Fax:252-247-4801
Practice Address - Street 1:300 MEDICAL PARK CT
Practice Address - Street 2:BUILDING #18
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-4346
Practice Address - Country:US
Practice Address - Phone:252-726-0411
Practice Address - Fax:252-247-4801
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC019367207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8953764Medicaid
NC53764OtherBCBS
NC8953764Medicaid
C80998Medicare UPIN