Provider Demographics
NPI:1063156917
Name:JOSEPH H. MA M.D
Entity type:Organization
Organization Name:JOSEPH H. MA M.D
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUNNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-762-8615
Mailing Address - Street 1:4231 COLDEN ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3977
Mailing Address - Country:US
Mailing Address - Phone:718-762-8615
Mailing Address - Fax:
Practice Address - Street 1:4231 COLDEN ST
Practice Address - Street 2:STE 201
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3982
Practice Address - Country:US
Practice Address - Phone:718-762-8615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOSEPH H. MA M.D
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty