Provider Demographics
NPI:1669645065
Name:UNGAR, JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:UNGAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6112 N MESA ST # 6027
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-4516
Mailing Address - Country:US
Mailing Address - Phone:575-288-5122
Mailing Address - Fax:601-429-9149
Practice Address - Street 1:410 THORN AVE APT 15
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-1339
Practice Address - Country:US
Practice Address - Phone:952-595-1100
Practice Address - Fax:612-294-4903
Is Sole Proprietor?:No
Enumeration Date:2008-04-07
Last Update Date:2024-04-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD604751112085R0202X, 2085R0202X
TXQ22152085R0202X
FLTRN187112085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology