Provider Demographics
NPI:1952555047
Name:TAWIL, JOSEPH B (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:B
Last Name:TAWIL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:67 IRVING PLACE
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003
Mailing Address - Country:US
Mailing Address - Phone:212-979-9224
Mailing Address - Fax:212-674-7138
Practice Address - Street 1:67 IRVING PLACE
Practice Address - Street 2:7TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-979-9224
Practice Address - Fax:212-674-7138
Is Sole Proprietor?:No
Enumeration Date:2008-11-16
Last Update Date:2013-01-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY236831207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3094575Medicaid
NY3094575Medicaid