Provider Demographics
NPI:1154569549
Name:PARMOON, JOSEPH ALI (CPED)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ALI
Last Name:PARMOON
Suffix:
Gender:M
Credentials:CPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5011 MONTGOMERY BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-1350
Mailing Address - Country:US
Mailing Address - Phone:505-872-3668
Mailing Address - Fax:505-888-7041
Practice Address - Street 1:5011 MONTGOMERY BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-1350
Practice Address - Country:US
Practice Address - Phone:505-872-3668
Practice Address - Fax:505-888-7041
Is Sole Proprietor?:No
Enumeration Date:2009-01-23
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM1881667806Medicaid
NM1881667806Medicaid