MEDICARE: DR. MATHEW JOHN 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
1	207RH0003X	Hematology & Oncology Physician	43461	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4183143	OTHER	TN	BCBS OF TN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922280692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATHEW JOHN JOSEPH M.D.

Provider Business Mailing Address
First Line	:	PO BOX 440100
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37244-0100
Country	:	US
Telephone Number	:	615-329-0570
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 NATCHEZ PARK DR STE 103
Second Line	:
City	:	DICKSON
State	:	TN
Zip	:	37055-9013
Country	:	US
Telephone Number	:	615-740-7025
Fax Number	:	615-740-9508

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

Provider Enumeration Date	:	12/04/2007
Last Update Date	:	11/06/2019

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