Provider Demographics
NPI:1144360637
Name:PITON, JOEL (MD, MED)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:
Last Name:PITON
Suffix:
Gender:M
Credentials:MD, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HEMLOCK TER
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-3907
Mailing Address - Country:US
Mailing Address - Phone:617-721-8948
Mailing Address - Fax:
Practice Address - Street 1:420 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:DORCHESTER CENTER
Practice Address - State:MA
Practice Address - Zip Code:02124-1127
Practice Address - Country:US
Practice Address - Phone:617-265-0628
Practice Address - Fax:617-265-4134
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health