Provider Demographics
NPI:1780076554
Name:DOCTOR'S MEDICAL EXPRESS
Entity type:Organization
Organization Name:DOCTOR'S MEDICAL EXPRESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:D
Authorized Official - Last Name:MIGLIACCIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-840-7533
Mailing Address - Street 1:PO BOX 402
Mailing Address - Street 2:
Mailing Address - City:CRESSKILL
Mailing Address - State:NJ
Mailing Address - Zip Code:07626-0402
Mailing Address - Country:US
Mailing Address - Phone:201-840-7533
Mailing Address - Fax:201-266-6426
Practice Address - Street 1:46 UNION AVE
Practice Address - Street 2:
Practice Address - City:CRESSKILL
Practice Address - State:NJ
Practice Address - Zip Code:07626-2125
Practice Address - Country:US
Practice Address - Phone:201-840-7533
Practice Address - Fax:201-266-6426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ777932ZE87Medicare UPIN