Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD450874 | PA |
N | 207Q00000X | Family Doctor | MT197825 | PA |
N | 207QA0401X | Family Doctor - Addiction Medicine | MD20606 | ME |
NPI | 1922327600 |
---|---|
Provider Name | Dr. Joseph M Valdez |
First Address | Danville, PA 17822-4903 |
Second Address | Bloomsburg, PA 17815-1419 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2010 |
Last Update Date | 26/08/2020 |