Individual
COLLEEN PATRICIA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
504 VALLEY RD, WAYNE, NJ 07470-3534
(973) 694-2690
Mailing address
80 SMULL AVE, WEST CALDWELL, NJ 07006-7926
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00435400
NJ
363AM0700X
Medical Physician Assistant
25MP00435400
NJ
363AS0400X
Surgical Physician Assistant
25MP00435400
NJ
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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