Provider Demographics
NPI:1609037654
Name:MORALES, JULIE-LEE (DO)
Entity Type:Individual
Prefix:
First Name:JULIE-LEE
Middle Name:
Last Name:MORALES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JULIE-LEE
Other - Middle Name:
Other - Last Name:PINEIRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:13 ASHWOOD CT
Mailing Address - Street 2:
Mailing Address - City:MAPLE SHADE
Mailing Address - State:NJ
Mailing Address - Zip Code:08052-1934
Mailing Address - Country:US
Mailing Address - Phone:856-304-0737
Mailing Address - Fax:
Practice Address - Street 1:RED LION AND KNIGHTS ROADS
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114
Practice Address - Country:US
Practice Address - Phone:215-612-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT012668207Q00000X, 207P00000X
PAOS015684207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA025726Medicare PIN