Basic Information
Provider Information
NPI: 1841634466
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMZY
FirstName: JOSEPH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3401 N BROAD ST
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191405103
CountryCode: US
TelephoneNumber: 2157072000
FaxNumber:  
Practice Location
Address1: 3401 N BROAD ST
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191405103
CountryCode: US
TelephoneNumber: 2157072000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/25/2013
LastUpdateDate: 01/28/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/28/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200XMT211852PAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001XMT211852PAN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207R00000XMD460308PAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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