MEDICARE: DR. JOHN JOSEPH HOSAY JR. 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	208800000X	Urology Physician	MA36411	NJ

Other Identifiers

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

General Provider Information

NPI Number	:	1255432886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN JOSEPH HOSAY JR. M.D.

Provider Business Mailing Address
First Line	:	2555 KENNEDY BLVD.
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07304
Country	:	US
Telephone Number	:	201-433-9666
Fax Number	:	201-432-9647

Provider Business Practice Location Address
First Line	:	2555 KENNEDY BLVD.
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07304
Country	:	US
Telephone Number	:	201-433-9666
Fax Number	:	201-432-9647

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	07/08/2007

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