Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 281421 | MA |
N | 207K00000X | Allergist & Immunologist | 297572 | NY |
N | 207K00000X | Allergist & Immunologist | 34.013012 | OH |
NPI | 1144649575 |
---|---|
Provider Name | Nancy I Joseph |
First Address | Mayfield Heights, OH 44124-6806 |
Second Address | Buzzards Bay, MA 02532-3270 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2014 |
Last Update Date | 28/10/2019 |