Provider Demographics
NPI:1073018420
Name:JUE, JOSHUA STEPHEN (MD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:STEPHEN
Last Name:JUE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20802
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4105
Mailing Address - Country:US
Mailing Address - Phone:888-402-7256
Mailing Address - Fax:888-902-1099
Practice Address - Street 1:1411 N FLAGLER DR STE 3800
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3426
Practice Address - Country:US
Practice Address - Phone:561-291-7182
Practice Address - Fax:561-437-2755
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program