Provider Demographics
NPI:1760463574
Name:MALJOVEC, JOSEPH JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JOHN
Last Name:MALJOVEC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JOHN
Other - Middle Name:
Other - Last Name:MALJOVEC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:14 PLUMBER ST
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-1202
Mailing Address - Country:US
Mailing Address - Phone:814-723-2323
Mailing Address - Fax:814-726-3337
Practice Address - Street 1:14 PLUMBER ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-1202
Practice Address - Country:US
Practice Address - Phone:814-723-2323
Practice Address - Fax:814-726-3337
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD023842E174400000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009405150010Medicaid
PA0009405150003Medicaid
PA104179OtherUNISON/MEDPLUS
PA00025102301OtherUNIVERA HEALTHCARE
PA219414OtherUPMC
PA051052OtherBLUE SHIELD
PA160039919OtherMEDICARE RAILROAD
PA89086OtherGHI HMO
PA89086OtherGHI HMO
PA051052OtherBLUE SHIELD
PA104179OtherUNISON/MEDPLUS