Individual
JASON JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2107
(607) 763-6622
(607) 763-6524
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 729-8156
(607) 729-2209
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
245658
NY
208M00000X
Hospitalist Physician
Primary
245658
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02908978
—
NY
Enumeration date
08/16/2007
Last updated
12/31/2013
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