Individual
JOYCE R TALAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
202 ELMER ST, WESTFIELD, NJ 07090-2128
(908) 228-3675
(908) 654-1053
Mailing address
8 MOUNTAIN BLVD, WARREN, NJ 07059-2638
(908) 222-0048
(908) 222-3709
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08692700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215116
TUFTS HEALTH PLAN
MA
01
—
J25222
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/22/2006
Last updated
07/10/2019
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