Dr. Gary D. Josephson
Pediatric Otolaryngology
807 Childrens Way
Jacksonville
, Florida 32207-8426
Dr. Gary D. Josephson
Pediatric Otolaryngology
807 Childrens Way
Jacksonville
, Florida 32207-8426
(302) 651-4945
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About
Features
Specialties
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Dr. Gary D. Josephson
- Po Box 191 Provider Enrollment Dept
- Rockland, DE
- Zip : 19732-0191
- Fax : (302) 651-4945
- Phone : (302) 651-6212
Second Address
- Dr. Gary D. Josephson
- 807 Childrens Way
- Jacksonville, FL
- Zip : 32207-8426
- Fax : (904) 390-3502
- Phone : (904) 390-3690
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YP0228X | Pediatric Otolaryngology | ME73739 | FL |
National Provider Identifier
| NPI | 1144231671 |
|---|---|
| Provider Name | Dr. Gary D. Josephson |
| First Address | Rockland, DE 19732-0191 |
| Second Address | Jacksonville, FL 32207-8426 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2006 |
| Last Update Date | 23/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000870504A | (05) | GA |
| 252814201 | (05) | FL |
| G63781 | (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.