MEDICARE: DR. JOSEF J FOX 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
1	207R00000X	Internal Medicine Physician	236119	NY
2	207UN0902X	Nuclear Imaging & Therapy Physician	236119	NY

General Provider Information

NPI Number	:	1750322806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEF J FOX M.D.

Provider Business Mailing Address
First Line	:	3611 HENRY HUDSON PARKWAY
Second Line	:	# 9L
City	:	BRONX
State	:	NY
Zip	:	10463
Country	:	US
Telephone Number	:	718-432-1434
Fax Number	:

Provider Business Practice Location Address
First Line	:	3611 HENRY HUDSON PKWY
Second Line	:	# 9L
City	:	BRONX
State	:	NY
Zip	:	10463-1545
Country	:	US
Telephone Number	:	718-432-1434
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	04/02/2009

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