Provider Demographics
NPI:1255572152
Name:YEH, JOANNIE T (MD)
Entity type:Individual
Prefix:DR
First Name:JOANNIE
Middle Name:T
Last Name:YEH
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1098 W BALTIMORE PIKE
Mailing Address - Street 2:SUITE 3403 RIDDLE HEALTH CENTER 3
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-5139
Mailing Address - Country:US
Mailing Address - Phone:610-627-4490
Mailing Address - Fax:610-627-4477
Practice Address - Street 1:1098 W BALTIMORE PIKE
Practice Address - Street 2:RIDDLE HEALTH CENTER 3, SUITE 3403
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-5139
Practice Address - Country:US
Practice Address - Phone:610-627-4490
Practice Address - Fax:610-627-4477
Is Sole Proprietor?:No
Enumeration Date:2009-03-23
Last Update Date:2015-02-11
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Provider Licenses
StateLicense IDTaxonomies
PAMD445274208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA232359401OtherMLHC TIN
PA232359401OtherMLHC TIN