Organization
ANSON J JOSEPH - PATUXENT NEPHROLOGY ASSOC LLC
Active
Other names
Nephrology and Hypertension
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANSON JACOB JOSEPH MD (MD)
(410) 535-2085
Entity
Organization
Contact information
Practice address
205 STEEPLE CHASE DR, SUITE #206, PRINCE FREDERICK, MD 20678-4053
(410) 535-2085
(410) 535-0404
Mailing address
PO BOX 2424, PRINCE FREDERICK, MD 20678-2424
(410) 535-2985
(410) 535-0404
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D56161
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0J48JA
BLUECROSS BLUE SHIELD
MD
01
—
110225745
MEDICARE RAIL ROAD
MD
01
—
2683588
AETNA - HMO
MD
01
—
391889
MAMSI
MD
01
—
7743275
AETNA - PPO
MD
05
—
8092036.00
—
MD
01
—
D56161
MARYLAND STATE LICENSE
MD
01
—
F1170001
BLUE CROSS / BLUE SHEILD
DC
01
—
M51736
CDS
MD
Enumeration date
07/23/2006
Last updated
03/07/2023
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