Individual
DR. JULIETTE E LOUIS-CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7810 OLD YORK RD, ELKINS PARK, PA 19027-2509
(215) 782-2250
(215) 277-7876
Mailing address
7805 DEER RUN RD, GLENSIDE, PA 19038-7223
(215) 292-1364
(215) 277-7876
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS008290L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015389860004
—
PA
01
—
787924YES1
MEDICARE PROVIDER NUMBER
PA
Enumeration date
06/23/2006
Last updated
03/11/2016
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