Provider Demographics
NPI:1780658526
Name:WHELAN, JOSEPH CHRISTOPHER (PT, MS, OCS)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:CHRISTOPHER
Last Name:WHELAN
Suffix:
Gender:M
Credentials:PT, MS, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
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Mailing Address - Street 1:734 MARCELLUS DR
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2013
Mailing Address - Country:US
Mailing Address - Phone:908-902-6886
Mailing Address - Fax:908-228-2231
Practice Address - Street 1:734 MARCELLUS DR
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2013
Practice Address - Country:US
Practice Address - Phone:908-902-6886
Practice Address - Fax:908-228-2231
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-16
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA013052002251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ08Z01Medicare ID - Type UnspecifiedIDENTIFICATION NUMBER