NPI | 1154082428 |
---|---|
Doing Business As | JOSEPH ADVANCED OCULOFACIAL PLASTIC SURGERY |
Entity Type | Organization |
Authorized Contact | SHANNON S. JOSEPH Member 947-217-3223 |
Organization Subpart ? | No |
Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery |
Enumeration Date | 2022-01-07 |
Last Update Date | 2024-07-07 |