Provider Demographics
NPI:1740222124
Name:YEH, JULIE ANN (MD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:YEH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1601 CHERRY ST
Mailing Address - Street 2:SUITE 11511
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-1321
Mailing Address - Country:US
Mailing Address - Phone:215-255-7822
Mailing Address - Fax:215-255-7825
Practice Address - Street 1:225 NEWTOWN RD
Practice Address - Street 2:FIRST FLOOR, FAMILY MEDICINE
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-5221
Practice Address - Country:US
Practice Address - Phone:215-441-7580
Practice Address - Fax:215-441-7585
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2007-08-13
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Provider Licenses
StateLicense IDTaxonomies
PAMD421081207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAI01656Medicare UPIN
PA076761Medicare ID - Type Unspecified