Provider Demographics
NPI:1124261375
Name:MALI, JOSHUA (MD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:
Last Name:MALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6B MINNEAKONING RD
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-5799
Mailing Address - Country:US
Mailing Address - Phone:908-824-7144
Mailing Address - Fax:908-968-3239
Practice Address - Street 1:6B MINNEAKONING RD
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-5760
Practice Address - Country:US
Practice Address - Phone:908-824-7144
Practice Address - Fax:908-968-3239
Is Sole Proprietor?:No
Enumeration Date:2009-04-16
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA12100100207W00000X, 207WX0107X
FLME124007207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
62979OtherALBANY MEDICAL CENTER ID NUMBER