Provider Demographics
NPI:1114923240
Name:STEWART, JOSEPH H (DO)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:H
Last Name:STEWART
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 E MAIN ST
Mailing Address - Street 2:STE 1
Mailing Address - City:WAYNESBORO
Mailing Address - State:PA
Mailing Address - Zip Code:17268-2318
Mailing Address - Country:US
Mailing Address - Phone:717-762-9118
Mailing Address - Fax:717-762-2860
Practice Address - Street 1:1051 E MAIN ST
Practice Address - Street 2:STE 1
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268-2318
Practice Address - Country:US
Practice Address - Phone:717-762-9118
Practice Address - Fax:717-762-2860
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003062L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006720850001Medicaid
PA163856GNRMedicare PIN
PAC32506Medicare UPIN