Provider Demographics
NPI:1811936628
Name:ARAUJO, JOSEPH M
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:M
Last Name:ARAUJO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2139 COTTMAN AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-1122
Mailing Address - Country:US
Mailing Address - Phone:215-745-1444
Mailing Address - Fax:215-745-1448
Practice Address - Street 1:2139 COTTMAN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-1122
Practice Address - Country:US
Practice Address - Phone:215-745-1444
Practice Address - Fax:215-745-1448
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
No156FX1201XEye and Vision Services ProvidersTechnician/TechnologistOptometric Assistant