Individual
DR. JEFFREY J JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 W PINHOOK RD, STE 201, LAFAYETTE, LA 70503-2464
(337) 237-0650
(888) 990-2781
Mailing address
1000 W PINHOOK RD, STE 201, LAFAYETTE, LA 70503-2464
(337) 237-0650
(337) 237-1086
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
L019073
LA
207YS0123X
Facial Plastic Surgery Physician
L019073
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040017313
RAILROAD MEDICARE
LA
05
—
1443727
—
LA
Enumeration date
08/25/2005
Last updated
03/16/2020
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