Provider Demographics
NPI:1457694671
Name:MARCHESE, JOSEPH WILLIAM (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:WILLIAM
Last Name:MARCHESE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VETERANS AFFAIRS HEALTHCARE-BOSTON
Mailing Address - Street 2:150 S. HUNTINGTON AVENUE
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130
Mailing Address - Country:US
Mailing Address - Phone:857-364-4720
Mailing Address - Fax:857-364-2033
Practice Address - Street 1:VETERANS AFFAIRS HEALTHCARE-BOSTON
Practice Address - Street 2:150 S. HUNTINGTON AVENUE
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130
Practice Address - Country:US
Practice Address - Phone:857-364-4720
Practice Address - Fax:857-364-2033
Is Sole Proprietor?:No
Enumeration Date:2013-04-05
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA273608207X00000X
174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery