Provider Demographics
NPI:1831169127
Name:KESSLER, JOSHUA (MD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:
Last Name:KESSLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 HILLSIDE AVE STE H
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02494-1232
Mailing Address - Country:US
Mailing Address - Phone:781-444-4722
Mailing Address - Fax:781-444-4721
Practice Address - Street 1:560 HILLSIDE AVE STE H
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494-1232
Practice Address - Country:US
Practice Address - Phone:781-444-4722
Practice Address - Fax:781-444-4721
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA219744207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2031761Medicaid
MA2031761Medicaid
MAI01262Medicare UPIN