MEDICARE: JOSEPH D. EMMA, M.D. & ASSOCIATES, P.C.

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	207R00000X	Internal Medicine Physician	46627	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	182930	OTHER	MA	CIGNA
2	5364222	OTHER	MA	AETNA
3	M18194	OTHER	MA	BLUE CROSS BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427134980
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSEPH D. EMMA, M.D. & ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	21 E MAIN ST
Second Line	:
City	:	AVON
State	:	MA
Zip	:	02322-1413
Country	:	US
Telephone Number	:	508-586-1046
Fax Number	:	508-580-1116

Provider Business Practice Location Address
First Line	:	21 E MAIN ST
Second Line	:
City	:	AVON
State	:	MA
Zip	:	02322-1413
Country	:	US
Telephone Number	:	508-586-1046
Fax Number	:	508-580-1116

Authorized Official
Title or Position	:	PHYSICIAN/PRESIDENT
Name	:	DR. JOSEPH DONATO EMMA
Credential	:	M.D,
Telephone Number	:	508-586-1046

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	08/22/2020

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