Individual
PATRICIA ANN MAXWELL JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 EDEN AVE, CINCINNATI, OH 45219
(513) 475-8523
(513) 475-7327
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 245-3104
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-076079
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35-076079
OH
207RP1001X
Pulmonary Disease Physician
Primary
35-076079
OH
2080P0214X
Pediatric Pulmonology Physician
35-076079
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200239960
—
IN
05
—
2135148
—
OH
05
—
64963366
—
KY
01
—
P00053563
RAIL ROAD MEDICARE
OH
Enumeration date
04/21/2006
Last updated
08/21/2017
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