Provider Demographics
NPI:1467502245
Name:SINCAVAGE, JOSEPH T (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:T
Last Name:SINCAVAGE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1098 W BALTIMORE PIKE
Mailing Address - Street 2:SUITE 3106 RIDDLE HLTH CTR 3
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-5139
Mailing Address - Country:US
Mailing Address - Phone:610-891-6240
Mailing Address - Fax:610-891-6244
Practice Address - Street 1:1098 W BALTIMORE PIKE
Practice Address - Street 2:SUITE 3106 RIDDLE HLTH CTR 3
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-5139
Practice Address - Country:US
Practice Address - Phone:610-891-6240
Practice Address - Fax:610-891-6244
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2014-12-23
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Provider Licenses
StateLicense IDTaxonomies
PAMD031702E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB39770Medicare UPIN
PA001092689Medicaid
PA147289HK1Medicare PIN