Provider Demographics
NPI:1326033275
Name:EUFEMIA, JOANN MARIE (MD)
Entity type:Individual
Prefix:
First Name:JOANN
Middle Name:MARIE
Last Name:EUFEMIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 HARVEST LANE
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055
Mailing Address - Country:US
Mailing Address - Phone:609-654-4919
Mailing Address - Fax:609-953-1208
Practice Address - Street 1:16 HARVEST LANE
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055
Practice Address - Country:US
Practice Address - Phone:609-654-4919
Practice Address - Fax:609-953-1208
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-16
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05198700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2100002Medicaid
NJ110049798OtherRAILROAD MEDICARE
NJ0452375000OtherAMERIHEALTH
NJ1042237002OtherCIGNA HMO
NJ531730OtherAETNA
NJ0452375000OtherAMERIHEALTH
E52535Medicare UPIN