# JOSEPH P BADOLATO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1235298662
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0S005061L | PA | Yes |
| 207Q00000X | Family Medicine Physician | 25MB04305300 | NJ | — |

## Other

- **Enumeration date:** 12/08/2006
- **Last updated:** 09/03/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000124127 | HIGHMARK BS | PA |
| 01 | — | 0058472000 | INDEPENDENCE BC | PA |
| 01 | — | 232251238 00001 | CIGNA | PA |
| 01 | — | 4474097 | AETNA | PA |
| 05 | — | 6077609 | — | NJ |
| 01 | — | A24127 | AMERIHEALTH ADMINISTRATORS | PA |