Provider Demographics
NPI:1356534192
Name:PALMISANO, JOANNE JOYCE (MD)
Entity type:Individual
Prefix:
First Name:JOANNE JOYCE
Middle Name:
Last Name:PALMISANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 CALLERY WAY
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-2970
Mailing Address - Country:US
Mailing Address - Phone:484-865-9922
Mailing Address - Fax:
Practice Address - Street 1:500 ARCOLA ROAD
Practice Address - Street 2:WYETH RESEARCH
Practice Address - City:COTTEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426
Practice Address - Country:US
Practice Address - Phone:484-865-9922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA60225207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine