Provider Demographics
NPI:1902040470
Name:SIVAK, JOSEPH AARON (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:AARON
Last Name:SIVAK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 ERWIN RD
Mailing Address - Street 2:CARDIOVASCULAR MEDICINE, ATTN ARLENE MARTIN
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4699
Mailing Address - Country:US
Mailing Address - Phone:919-668-0950
Mailing Address - Fax:
Practice Address - Street 1:518 S VAN BUREN RD STE 3
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-5017
Practice Address - Country:US
Practice Address - Phone:336-864-3130
Practice Address - Fax:336-864-3135
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2012-00467207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine