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Organization

RICHARD S JOSEPH MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD SAUL JOSEPH MD (MD)
(631) 549-6969
Entity
Organization

Contact information

Practice address
205 E MAIN ST, SUITE1-4, HUNTINGTON, NY 11743-2923
(631) 549-6969
(631) 421-0333
Mailing address
205 E MAIN ST, SUITE1-4, HUNTINGTON, NY 11743-2923
(631) 549-6969
(631) 421-0333

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
091447-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01544518
NY
01
060067802
RAILROAD MEDICARE
01
091447-3I
NY STATE WORKMANS COMP
NY
Enumeration date
10/13/2010
Last updated
12/01/2010
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