Babu M Joseph Md Pc | |
10753 Guy R Brewer Blvd Jamaica NY 11433-2351 | |
(718) 523-5776 | |
(718) 526-1132 |
Full Name | Babu M Joseph Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 10753 Guy R Brewer Blvd, Jamaica, New York |
Authorized Official Name and Position | Babu M Joseph (PRESIDENT) |
Authorized Official Contact | 7183434865 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Babu M Joseph Md Pc 27019 Union Tpke New Hyde Park NY 11040-1536 Ph: (718) 343-4865 | Babu M Joseph Md Pc 10753 Guy R Brewer Blvd Jamaica NY 11433-2351 Ph: (718) 523-5776 |
NPI Number | 1831243369 |
---|---|
Provider Enumeration Date | 01/22/2007 |
Last Update Date | 02/11/2008 |
Medicare PECOS PAC ID | 7719051523 |
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Medicare Enrollment ID | O20080728000547 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831243369 | NPI | - | NPPES |
02377159 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 213071 (New York) | Primary |
Provider Name | Babu Joseph |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023156213 PECOS PAC ID: 7810061629 Enrollment ID: I20080728000529 |
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