Provider Demographics
NPI:1356423255
Name:JOSEPH, WILLIAM PATRICK (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:PATRICK
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12677 ALCOSTA BLVD STE 378
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-4410
Mailing Address - Country:US
Mailing Address - Phone:925-858-3912
Mailing Address - Fax:925-275-1018
Practice Address - Street 1:5601 NORRIS CANYON RD
Practice Address - Street 2:SUITE #220
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-5407
Practice Address - Country:US
Practice Address - Phone:925-277-2050
Practice Address - Fax:925-275-1018
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG27536207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA43389Medicare UPIN