Provider Demographics
NPI:1912153941
Name:RICH, JULIANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIANNE
Middle Name:
Last Name:RICH
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 1:2005 TECHNOLOGY PARKWAY
Mailing Address - Street 2:SUITE 350
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050
Mailing Address - Country:US
Mailing Address - Phone:717-730-9000
Mailing Address - Fax:717-730-6180
Practice Address - Street 1:2005 TECHNOLOGY PARKWAY
Practice Address - Street 2:SUITE 350
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050
Practice Address - Country:US
Practice Address - Phone:717-730-9000
Practice Address - Fax:717-730-6180
Is Sole Proprietor?:No
Enumeration Date:2008-08-11
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD443819207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1026313420001Medicaid
PA1026313420001Medicaid