Individual
MICHAEL RICHARD JOSEFOWICZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
703 RUTTER AVE, KINGSTON, PA 18704-4801
(570) 288-7405
(570) 288-7406
Mailing address
2661 RIVA RD STE 1030, ANNAPOLIS, MD 21401-7131
(667) 354-5528
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000229
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
397325
NVA
PA
01
—
938921
EYEMED
PA
01
—
9866
DAVIS VISION
PA
01
—
JO896903
BLUE CROSS
PA
Enumeration date
06/13/2006
Last updated
03/22/2026
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