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NPI Code Detail

MEDICARE: DR. JEFFREY J JOSEPH MD

MEDICARE: DR. JEFFREY J JOSEPH MD
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
1207YS0123XFacial Plastic Surgery PhysicianL019073LA
2207Y00000XOtolaryngology PhysicianL019073LA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1040017313OTHERLARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336132315
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY J JOSEPH MD
Provider Business Mailing Address
First Line : 1000 W PINHOOK RD
Second Line : STE 201
City : LAFAYETTE
State : LA
Zip : 70503-2464
Country : US
Telephone Number : 337-237-0650
Fax Number : 337-237-1086
Provider Business Practice Location Address
First Line : 1000 W PINHOOK RD
Second Line : STE 201
City : LAFAYETTE
State : LA
Zip : 70503-2464
Country : US
Telephone Number : 337-237-0650
Fax Number : 888-990-2781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 03/16/2020

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Directions to “ DR. JEFFREY J JOSEPH MD” Practice Location

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