Provider Demographics
NPI:1922624923
Name:DR ANTHONY JOSEPH MD PLLC
Entity Type:Organization
Organization Name:DR ANTHONY JOSEPH MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-345-9914
Mailing Address - Street 1:2330 S MILFORD RD STE 120
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48357-4982
Mailing Address - Country:US
Mailing Address - Phone:248-345-9914
Mailing Address - Fax:248-684-5550
Practice Address - Street 1:2330 S MILFORD RD STE 120
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:MI
Practice Address - Zip Code:48357-4982
Practice Address - Country:US
Practice Address - Phone:248-345-9914
Practice Address - Fax:248-684-5550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty