Individual
DR. JOSEPH MARDELLI
Active
Individual
DR. JOSEPH MARDELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
JM077971
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301077971
MI
207RP1001X
Pulmonary Disease Physician
JM077971
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
43010077971
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E00425
BLUE CROSS BLUE SHIELD OF MI
MI
01
—
1598700932
GROUP NPI
MI
01
—
290F349720
BLUE CROSS
MI
05
—
4399895
—
MI
Enumeration date
07/28/2005
Last updated
03/11/2025
Update your record
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