Provider Demographics
NPI:1013975671
Name:STEIN, JOSHUA P (MD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:P
Last Name:STEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:62 PITCHER AVE
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-2101
Mailing Address - Country:US
Mailing Address - Phone:617-510-7655
Mailing Address - Fax:
Practice Address - Street 1:585 LEBANON ST
Practice Address - Street 2:HALLMARK IMAGING
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-3225
Practice Address - Country:US
Practice Address - Phone:781-979-3117
Practice Address - Fax:781-979-3994
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2270872085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology