Doctor Name: | EDWARD JOSELL |
NPI Number: | 1093989725 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 25MB02158600 |
Business Practice Address: | 557 Cranbury Rd Suite 21 East Brunswick, NJ - 088165419 |
Business Phone Number: | 7322385570 |
Business Fax Number: | |
Mailing Address: | 4 Mulberry Ln, EDISON |
State: | NJ |
Postal Code: | 088202904 |
Phone Number: | 7324945050 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2008 |
NPI Last Update Date: | 04/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 25MB02158600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |