Individual
DR. M T JOSEPH
Active
Individual
DR. M T JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACC
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036045640
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010000066
BCBS OF IL
IL
01
—
026849200
FEDERAL BLACK LUNG
—
05
—
036045640
—
IL
01
—
K46805
INDIVIDUAL PTAN
IL
Enumeration date
12/19/2006
Last updated
09/20/2013
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