Individual
TERESA JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 737-8894
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
78913
CT
208M00000X
Hospitalist Physician
S7250
TX
390200000X
Student in an Organized Health Care Education/Training Program
J-210-789-018-204
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
04/24/2017
Last updated
07/12/2024
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