Individual
JULIA L DEJOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 W ALLEGHENY AVE, PHILADELPHIA, PA 19133-3644
(215) 291-2500
(215) 291-2502
Mailing address
1412-22 FAIRMOUNT AVENUE, PHILADELPHIA, PA 19130
(215) 235-9600
(215) 232-4093
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
243186
MA
207Q00000X
Family Medicine Physician
Primary
MD438550
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029176530001
—
PA
Enumeration date
06/06/2007
Last updated
08/25/2021
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