Individual
DR. JOEL B JURNOVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2010 WEST CHESTER PIKE, SUITE 350, HAVERTOWN, PA 19083-2738
(610) 924-0135
(610) 924-0620
Mailing address
3656 WAYNESFIELD DRIVE, NEWTOWN SQUARE, PA 19073
(610) 353-6463
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD010163E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031679000
081671 IBC PROVIDER #
PA
01
—
MD010163E
LICENSE
PA
Enumeration date
10/04/2006
Last updated
03/07/2023
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