Healthcare Provider Details

I. General information

NPI: 1952333445
Provider Name (Legal Business Name): VICTORIA A. JOSHI PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 LANDSDOWNE ST LABORATORY FOR MOLECULAR MEDICINE
CAMBRIDGE MA
02139-4232
US

IV. Provider business mailing address

65 LANDSDOWNE ST LABORATORY FOR MOLECULAR MEDICINE
CAMBRIDGE MA
02139-4232
US

V. Phone/Fax

Practice location:
  • Phone: 617-768-8324
  • Fax: 617-768-8513
Mailing address:
  • Phone: 617-768-8324
  • Fax: 617-768-8513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207SG0203X
TaxonomyClinical Molecular Genetics Physician
License Number2005080
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: