Individual
LOREN J JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE, BETH ISRAEL DEACONESS MEDICAL CENTER/DEPT PATHOLOGY, BOSTON, MA 02215-5400
(617) 667-6700
Mailing address
330 BROOKLINE AVE, BETH ISRAEL DEACONESS MEDICAL CENTER/ROOM RW763, BOSTON, MA 02215-5400
(773) 592-9774
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
036068988
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068988
—
IL
Enumeration date
01/16/2007
Last updated
10/07/2014
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