Provider Demographics
NPI:1205821469
Name:ZHOU, JOE SHUANGWEN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOE
Middle Name:SHUANGWEN
Last Name:ZHOU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:PALMERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18071-1708
Mailing Address - Country:US
Mailing Address - Phone:610-824-2474
Mailing Address - Fax:610-826-7906
Practice Address - Street 1:135 LAFAYETTE AVE
Practice Address - Street 2:
Practice Address - City:PALMERTON
Practice Address - State:PA
Practice Address - Zip Code:18071-1518
Practice Address - Country:US
Practice Address - Phone:610-824-2474
Practice Address - Fax:610-826-7906
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-14
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD065452Y207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA134662Other3 RIVERS
PA03200801OtherCAPITAL BLUE CROSS
PA110207524OtherRAILROAD MEDICARE
PA20012542OtherAMEIHEALT MERCY
PA0017065710008Medicaid
PAI76065OtherAMERIHEALTH ADMINISTRATOR
PA976065OtherBLUE SHIELD
PA110207524OtherRAILROAD MEDICARE
PAI76065OtherAMERIHEALTH ADMINISTRATOR