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NPI Code Detail

MEDICARE: EVELYN CLAIRE JOSEPH M.D.

MEDICARE: EVELYN CLAIRE JOSEPH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician49592OH

General Provider Information

NPI Number : 1225194087
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVELYN CLAIRE JOSEPH M.D.
Provider Business Mailing Address
First Line : 3006 PORTSMOUTH AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45208-1510
Country : US
Telephone Number : 513-871-0684
Fax Number : 513-871-0705
Provider Business Practice Location Address
First Line : 3006 PORTSMOUTH AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45208-1510
Country : US
Telephone Number : 513-871-0684
Fax Number : 513-871-0705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2006
Last Update Date : 07/08/2007

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