Provider Demographics
NPI:1427134980
Name:JOSEPH D. EMMA, M.D. & ASSOCIATES, P.C.
Entity type:Organization
Organization Name:JOSEPH D. EMMA, M.D. & ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:DONATO
Authorized Official - Last Name:EMMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:508-586-1046
Mailing Address - Street 1:21 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:MA
Mailing Address - Zip Code:02322-1413
Mailing Address - Country:US
Mailing Address - Phone:508-586-1046
Mailing Address - Fax:508-580-1116
Practice Address - Street 1:21 E MAIN ST
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:MA
Practice Address - Zip Code:02322-1413
Practice Address - Country:US
Practice Address - Phone:508-586-1046
Practice Address - Fax:508-580-1116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA46627207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA182930OtherCIGNA
MA5364222OtherAETNA
MAM18194OtherBLUE CROSS BLUE SHIELD
MA0122688Medicaid
MAB99514Medicare UPIN
MA0122688Medicaid