Provider Demographics
NPI:1780663104
Name:JOYCE, ALICE PLUMMER (MD)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:PLUMMER
Last Name:JOYCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1101 LOGAN BLVD
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-4029
Mailing Address - Country:US
Mailing Address - Phone:814-943-9879
Mailing Address - Fax:814-943-1808
Practice Address - Street 1:1101 LOGAN BLVD
Practice Address - Street 2:ALTOONA DERMATOLOGY ASSOCIATES
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-4029
Practice Address - Country:US
Practice Address - Phone:814-943-9879
Practice Address - Fax:814-943-1808
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034860E207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015022030001Medicaid
P02088622OtherPALMETTO GBA RAILROAD MEDICARE
PA203283OtherUPMC
PA722571OtherHIGHMARK
PA203283OtherUPMC
PAF27237Medicare UPIN