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NPI Code Detail

MEDICARE: JOSHUA ENGLE MD PLLC

MEDICARE: JOSHUA ENGLE MD PLLC
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
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1033985924
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSHUA ENGLE MD PLLC
Provider Business Mailing Address
First Line : 240 W 37TH ST FL 5
Second Line :
City : NEW YORK
State : NY
Zip : 10018-5787
Country : US
Telephone Number : 917-268-8951
Fax Number :
Provider Business Practice Location Address
First Line : 240 W 37TH ST FL 5
Second Line :
City : NEW YORK
State : NY
Zip : 10018-5787
Country : US
Telephone Number : 917-268-8951
Fax Number :
Authorized Official
Title or Position : OWNER,CEO
Name : JOSHUA ENGLE
Credential : MD
Telephone Number : 929-469-6556
Provider Enumeration Date : 11/30/2023
Last Update Date : 08/13/2024

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