Provider Demographics
NPI:1336581289
Name:DOOLEY, JOSEPH GEORGE (PT)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:GEORGE
Last Name:DOOLEY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 HIGHVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:BERNARDSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07924-1826
Mailing Address - Country:US
Mailing Address - Phone:908-229-1924
Mailing Address - Fax:
Practice Address - Street 1:341 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:EAST RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07073-1717
Practice Address - Country:US
Practice Address - Phone:201-438-7189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-19
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01494400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist