MEDICARE: JOSHUA DANIEL UY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD424270	PA
2	207QG0300X	Geriatric Medicine (Family Medicine) Physician	MD424270	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	20057812	OTHER	PA	AMERIHEALTH MERCY
3	7068588	OTHER		AETNA
4	002811	OTHER	PA	FIRST PRIORITY HEALTH
5	1616969	OTHER	PA	HIGHMARK BS
6	20057812	OTHER		FIRST HEALTH
7	50059315	OTHER	PA	KEYSTONE CAPITAL BC
8	87127	OTHER	PA	GEISING
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164422564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA DANIEL UY MD

Provider Business Mailing Address
First Line	:	3615 CHESTNUT STREET
Second Line	:	RALSTON - PENN CENTER
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-2612
Country	:	US
Telephone Number	:	215-662-2746
Fax Number	:	215-349-5648

Provider Business Practice Location Address
First Line	:	3615 CHESTNUT STREET
Second Line	:	RALSTON - PENN CENTER
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-2612
Country	:	US
Telephone Number	:	215-662-2746
Fax Number	:	215-349-5648

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	09/26/2019

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Directions to “ JOSHUA DANIEL UY MD” Practice Location

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