Provider Demographics
NPI:1942959846
Name:NAPOLITANO, JOSEPH JOHN
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:JOHN
Last Name:NAPOLITANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 W CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2665
Mailing Address - Country:US
Mailing Address - Phone:610-395-9695
Mailing Address - Fax:
Practice Address - Street 1:3333 W CONGRESS ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-2665
Practice Address - Country:US
Practice Address - Phone:610-395-9695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-20
Last Update Date:2022-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP003453363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health