MEDICARE: PAOLO JOSE

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	376J00000X	Homemaker	HP0370600	NJ

General Provider Information

NPI Number	:	1922867712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAOLO JOSE

Provider Business Mailing Address
First Line	:	2810 MORRIS AVE STE 207
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-4841
Country	:	US
Telephone Number	:	908-656-8658
Fax Number	:

Provider Business Practice Location Address
First Line	:	2810 MORRIS AVE STE 207
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-4841
Country	:	US
Telephone Number	:	908-656-8658
Fax Number	:

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

Provider Enumeration Date	:	03/15/2024
Last Update Date	:	03/15/2024

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Directions to “ PAOLO JOSE ” Practice Location

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