Provider Demographics
NPI:1841487014
Name:JOSEPH, JUDITH FIONA (MD)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:FIONA
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07505-2003
Mailing Address - Country:US
Mailing Address - Phone:973-754-4766
Mailing Address - Fax:973-754-4777
Practice Address - Street 1:56 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07505-2003
Practice Address - Country:US
Practice Address - Phone:973-754-4766
Practice Address - Fax:973-754-4777
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY257114-12084P0800X
NJ25MA095056002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry