Individual
JIJOE JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-1138
Mailing address
2 BURD ST APT 1104, NYACK, NY 10960-3244
(914) 484-1407
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB10811300
NJ
207P00000X
Emergency Medicine Physician
289379
NY
208D00000X
General Practice Physician
289379
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2015
Last updated
12/11/2024
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