Provider Demographics
NPI:1932331873
Name:JOSEPH, GISELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:GISELLE
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GISELLE
Other - Middle Name:
Other - Last Name:JOSEPH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-812-2000
Mailing Address - Fax:717-812-2010
Practice Address - Street 1:1575 BANNISTER ST
Practice Address - Street 2:STE 1
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-4946
Practice Address - Country:US
Practice Address - Phone:717-812-2000
Practice Address - Fax:717-812-2010
Is Sole Proprietor?:No
Enumeration Date:2009-08-11
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD441184207Q00000X, 207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD971233OtherCAREFIST MD BCBS-WMG
PAP010250OtherGATEWAY-WMG
PA416350OtherUPMC-WMG
PA395283OtherUNISON-WMG
PA102532157Medicaid
PA2541906OtherHIGHMARK BLUE SHIELD-WMG
PA30086567OtherAMERIHEALTH MERCY-WMG
PA102532157Medicaid
PA800019FLTMedicare PIN