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General NPI Number Information
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NPI Number | 1598928608
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Entity Type | Individual
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Provider Name | YOUSSEF JOSEPHSON D.O
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Gender | Male
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 196 GROVE AVE STE E
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City | WEST DEPTFORD
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State | NJ
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Zip | 08086-2139
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Country | US
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Telephone | 856-900-0041
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Fax | 856-900-0042
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Provider Business Mailing Address
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Address Line | PO BOX 358
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City | DOUGLASSVILLE
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State | PA
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Zip | 19518-0358
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Country | US
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Telephone | 856-900-0041
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Fax | 856-900-0042
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 25MB08837300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 25MB08837300
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 25MB08837300
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License Number State | NJ
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