Dr. Alphonsamma Joseph
Pediatric Emergency Physician
3501 Johnson St
Hollywood
, Florida 33021-5421
Dr. Alphonsamma Joseph
Pediatric Emergency Physician
3501 Johnson St
Hollywood
, Florida 33021-5421
(954) 377-3042
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About
Features
Specialties
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Alphonsamma Joseph
- 14050 Nw 14th St Suite 190
- Sunrise, FL
- Zip : 33323-2865
- Fax : (954) 377-3042
- Phone : (800) 424-3672
Second Address
- Dr. Alphonsamma Joseph
- 3501 Johnson St
- Hollywood, FL
- Zip : 33021-5421
- Phone : (954) 987-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | ME61935 | FL |
National Provider Identifier
| NPI | 1760419774 |
|---|---|
| Provider Name | Dr. Alphonsamma Joseph |
| First Address | Sunrise, FL 33323-2865 |
| Second Address | Hollywood, FL 33021-5421 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2006 |
| Last Update Date | 09/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 21047 | BLUE SHIELD (01) | FL |
| 252064800 | (05) | FL |
| E69919 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.