Provider Demographics
NPI:1922060516
Name:IMBRIGLIA, JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:IMBRIGLIA
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 1:6001 STONEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7380
Mailing Address - Country:US
Mailing Address - Phone:724-933-3850
Mailing Address - Fax:724-933-3860
Practice Address - Street 1:6001 STONEWOOD DR
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-7380
Practice Address - Country:US
Practice Address - Phone:724-933-3850
Practice Address - Fax:724-933-3860
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD17562E207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1009965OtherGATEWAY HEALTH PLAN
PA200028067OtherRAILROAD MEDICARE
PA233297OtherHEALTHAMERICA/HEALTHASSURANCE
PA4086680OtherAETNA
PA0006093030006Medicaid
PA076288OtherBLUE CROSS/BLUE SHIELD
WV25180380900OtherWV WORKERS COMPENSATION
PA248052OtherBLUE SHIELD - DME
PA200028067OtherRAILROAD MEDICARE
PA076288JMYMedicare ID - Type Unspecified
PR1254270001Medicare NSC