Provider Demographics
NPI:1801991351
Name:JOSELOW, STEVE A (MD)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:A
Last Name:JOSELOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:401 ANDOVER ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-5076
Mailing Address - Country:US
Mailing Address - Phone:978-691-5690
Mailing Address - Fax:978-691-5693
Practice Address - Street 1:23 HAMPTON RD
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-4807
Practice Address - Country:US
Practice Address - Phone:603-772-4684
Practice Address - Fax:603-772-5206
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH7053207N00000X
ME012501207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEP00266192OtherRAILROAD MEDICARE
NHP00352752OtherRAILROAD MEDICARE
MA070002678OtherRAILROAD MEDICARE
MAA58205OtherHARVARD
ME012217OtherANTHEM MAINE
NH0105727Y0NH01OtherANTHEM NEW HAMPSHIRE
MA4037118OtherAETNA
NHRE0817Medicare PIN
MEP00266192OtherRAILROAD MEDICARE
ME012217OtherANTHEM MAINE
A58205Medicare UPIN