Basic Information
Provider Information
NPI: 1811493943
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CIOFFI
FirstName: JOSEPH
MiddleName: HALLIDAY
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: 201 OCEAN AVE UNIT 604P
Address2:  
City: SANTA MONICA
State: CA
PostalCode: 904021419
CountryCode: US
TelephoneNumber: 3106662140
FaxNumber:  
Practice Location
Address1: 1611 NW 12TH AVE
Address2:  
City: MIAMI
State: FL
PostalCode: 331361096
CountryCode: US
TelephoneNumber: 3055851111
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/05/2018
LastUpdateDate: 06/10/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/10/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD049188DCN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000XMD049188DCN Allopathic & Osteopathic PhysiciansHospitalist 
207RG0100X34849FLY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


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