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NPI Code Detail

MEDICARE: DEBORAH JOSEFSON MD

MEDICARE:   DEBORAH  JOSEFSON  MD
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
1207R00000XInternal Medicine PhysicianA064708CA
2207R00000XInternal Medicine Physician22038NE
3207R00000XInternal Medicine Physician0101235369VA
4207R00000XInternal Medicine Physician33902AZ
5207R00000XInternal Medicine Physician199813NY
6207R00000XInternal Medicine Physician200501268NC
7207ZP0101XAnatomic Pathology Physician199813NY
8207ZP0101XAnatomic Pathology Physician0101235369VA
9207ZP0101XAnatomic Pathology Physician33902AZ
10207ZP0101XAnatomic Pathology PhysicianME93911FL
11207ZP0101XAnatomic Pathology Physician200501268NC
12207ZP0101XAnatomic Pathology Physician22038NE
13207ZP0101XAnatomic Pathology Physician36112999IL
14207ZP0101XAnatomic Pathology Physician25MA08683400NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15098922OTHERNYGHI

General Provider Information

NPI Number : 1558464073
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH JOSEFSON MD
Provider Business Mailing Address
First Line : 1 DIAMOND HILL RD
Second Line :
City : BERKELEY HEIGHTS
State : NJ
Zip : 07922-2104
Country : US
Telephone Number : 908-273-4300
Fax Number :
Provider Business Practice Location Address
First Line : 1515 BROAD ST STE B120
Second Line :
City : BLOOMFIELD
State : NJ
Zip : 07003-3059
Country : US
Telephone Number : 973-873-7000
Fax Number : 973-743-8943
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2006
Last Update Date : 08/19/2022

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Directions to “ DEBORAH JOSEFSON MD” Practice Location

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