Provider Demographics
NPI:1306825658
Name:JOYCE, JOHN P (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:P
Last Name:JOYCE
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 1:1101 LOGAN BLVD
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-4029
Mailing Address - Country:US
Mailing Address - Phone:814-943-9879
Mailing Address - Fax:814-943-1808
Practice Address - Street 1:1101 LOGAN BLVD
Practice Address - Street 2:ALTOONA DERMATOLOGY ASSOCIATES
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-4029
Practice Address - Country:US
Practice Address - Phone:814-943-9879
Practice Address - Fax:814-943-1808
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-14
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD043831L207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA110049534OtherPALMETTO GBA
PA203284OtherUPMC
PA0013954800002Medicaid
PA660573OtherHIGHMARK
PA660573OtherHIGHMARK
PA0013954800002Medicaid