Individual
DR. JERRY JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
851 FRANKLIN LAKE RD STE 105, FRANKLIN LAKES, NJ 07417
(201) 904-2230
(201) 904-2232
Mailing address
851 FRANKLIN LAKE RD STE 105, FRANKLIN LAKES, NJ 07417-2267
(201) 904-2230
(201) 904-2232
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
287231
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA10139400
STATE LICENSE
NJ
01
—
P26A34096-10147
GHI
NY
Enumeration date
07/18/2014
Last updated
02/02/2022
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