Individual
MARY JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 SPRINGHILL FURNACE RD, SMITHFIELD, PA 15478-1428
(724) 564-4690
Mailing address
527 MEDICAL PARK DR, STE 401, BRIDGEPORT, WV 26330-9010
(724) 564-4690
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA057301
PA
Other
Enumeration date
11/25/2014
Last updated
02/22/2016
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