Individual
DR. ALPHONSAMMA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 987-2000
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
ME61935
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21047
BLUE SHIELD
FL
05
—
252064800
—
FL
Enumeration date
06/26/2006
Last updated
04/09/2021
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