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Individual

JOSEPH A ODIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5 E 98TH ST, 12TH FLOOR, NEW YORK, NY 10029-6501
(212) 241-8035
(212) 241-2064
Mailing address
1 GUSTAVE L LEVY PL, BOX 1104, NEW YORK, NY 10029-6500
(212) 241-8035
(212) 241-2064

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
198140
NY
207RG0100X
Gastroenterology Physician
198140
NY
207RI0008X
Hepatology Physician
Primary
198140
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02157702
NY
Enumeration date
07/03/2006
Last updated
05/16/2012
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