Provider Demographics
NPI:1770632671
Name:REA, JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:REA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6767 OLD MADISON PIKE NW
Mailing Address - Street 2:BUILDING 4, SUITE 400
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-2172
Mailing Address - Country:US
Mailing Address - Phone:256-922-6675
Mailing Address - Fax:256-922-6660
Practice Address - Street 1:1963 MEMORIAL PKWY SW
Practice Address - Street 2:SUITE 24
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5036
Practice Address - Country:US
Practice Address - Phone:256-265-7000
Practice Address - Fax:256-265-7007
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AL222992083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC63634Medicare UPIN