Individual
JOSEPH R. MICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
WESTWOOD PROFESSIONAL BLDG., 297 WESTWOOD DR. SUITE 104, WOODBURY, NJ 08096
(856) 848-1083
(856) 848-2271
Mailing address
WESTWOOD PROFESSIONAL BLDG., 297 WESTWOOD DR. SUITE 104, WOODBURY, NJ 08096
(856) 848-1083
(856) 848-2271
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03374600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0097847001
BLUE CROSS, AMERIHEALTH
NJ
05
—
0873705
—
NJ
01
—
222287308
TAX ID
NJ
01
—
60001921
HORIZON NJ HEALTH
NJ
Enumeration date
07/28/2006
Last updated
04/25/2016
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