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NPI Code Detail

MEDICARE: DR. LIJA JOSEPH M.D.

MEDICARE: DR. LIJA JOSEPH 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician220563MA
2207ZP0101XAnatomic Pathology Physician220563MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134192446
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LIJA JOSEPH M.D.
Provider Business Mailing Address
First Line : 295 VARNUM AVE
Second Line :
City : LOWELL
State : MA
Zip : 01854-2193
Country : US
Telephone Number : 978-937-6341
Fax Number : 978-937-6085
Provider Business Practice Location Address
First Line : 295 VARNUM AVE
Second Line :
City : LOWELL
State : MA
Zip : 01854-2193
Country : US
Telephone Number : 978-937-6341
Fax Number : 978-937-6085
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 11/07/2023

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Directions to “ DR. LIJA JOSEPH M.D.” Practice Location

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