Individual
DR. SUNIL PANUVELIL JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB.BS
Contact information
Practice address
206 E BROWN ST, E STROUDSBURG, PA 18301-3006
(570) 426-2359
(570) 420-2479
Mailing address
11781 LEE JACKSON MEMORIAL HWY, SUITE 550, FAIRFAX, VA 22033-3309
(571) 777-5102
(703) 563-6256
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD449007
PA
207LP3000X
Pediatric Anesthesiology Physician
MD449007
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102848260
—
PA
Enumeration date
04/16/2009
Last updated
12/14/2015
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