Provider Demographics
NPI:1588632517
Name:JOSEPH, ALFRED J (M,D)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:J
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:M,D
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2151 SHENANGO VALLEY FWY
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-2586
Mailing Address - Country:US
Mailing Address - Phone:724-981-5613
Mailing Address - Fax:724-981-4790
Practice Address - Street 1:2151 SHENANGO VALLEY FWY
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-2586
Practice Address - Country:US
Practice Address - Phone:724-981-5613
Practice Address - Fax:724-981-4790
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD020605E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006694640002Medicaid
PA026555OtherHIGHMARK
PA7021294-003OtherCIGNA HEALTH CARE
PA5130442OtherAETNA HEALTH CARE
PA304148OtherUPMC HEALTH CARE
OH000000114762OtherANTHEM
PA7021294-003OtherCIGNA HEALTH CARE
PA026555OtherHIGHMARK