Provider Demographics
NPI:1568882157
Name:MCDONALD, JOSEPH MICHAEL JR (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:MICHAEL
Last Name:MCDONALD
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:725 IRVING AVE
Mailing Address - Street 2:8TH FL
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-2308
Mailing Address - Country:US
Mailing Address - Phone:315-464-7611
Mailing Address - Fax:315-464-5853
Practice Address - Street 1:725 IRVING AVE
Practice Address - Street 2:8TH FL
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-2308
Practice Address - Country:US
Practice Address - Phone:315-464-7611
Practice Address - Fax:315-464-5853
Is Sole Proprietor?:No
Enumeration Date:2014-04-22
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-1524342080P0216X
NY3367152080P0216X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0216XAllopathic & Osteopathic PhysiciansPediatricsPediatric RheumatologyGroup - Single Specialty