MEDICARE: JYOTIKA D JOSHI 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	207VG0400X	Gynecology Physician	MA43504	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	:	1447221205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JYOTIKA D JOSHI M.D.

Provider Business Mailing Address
First Line	:	3499 ROUTE 9 N
Second Line	:
City	:	FREEHOLD
State	:	NJ
Zip	:	07728-3258
Country	:	US
Telephone Number	:	732-577-1199
Fax Number	:	732-577-8922

Provider Business Practice Location Address
First Line	:	3499 ROUTE 9 N
Second Line	:
City	:	FREEHOLD
State	:	NJ
Zip	:	07728-3258
Country	:	US
Telephone Number	:	732-577-1199
Fax Number	:	732-577-8922

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

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	07/16/2010

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