Basic Information
| Provider Information | |||||||||
| NPI: | 1003131038 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JOSEPH | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | K. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 535 E CRESCENT AVE | ||||||||
| Address2: | C/O HISTOPATHOLOGY SERVICES, LLC | ||||||||
| City: | RAMSEY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 074462922 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2016617280 | ||||||||
| FaxNumber: | 2016617297 | ||||||||
| Practice Location | |||||||||
| Address1: | 535 E CRESCENT AVE | ||||||||
| Address2: | HISTOPATHOLOGY SERVICES, LLC | ||||||||
| City: | RAMSEY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 074462922 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2016617280 | ||||||||
| FaxNumber: | 2016617297 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/01/2010 | ||||||||
| LastUpdateDate: | 09/12/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZP0102X | N5136 | TX | N | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology | 207ZP0102X | 263166 | NY | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology |
No ID Information.