MEDICARE: JOSHUA MCCAMBRIDGE M.D.

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	2085R0202X	Diagnostic Radiology Physician	MD467217	PA

General Provider Information

NPI Number	:	1174933683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA MCCAMBRIDGE M.D.

Provider Business Mailing Address
First Line	:	220 HOWERTOWN RD
Second Line	:
City	:	NORTHAMPTON
State	:	PA
Zip	:	18067-1937
Country	:	US
Telephone Number	:	610-533-2904
Fax Number	:

Provider Business Practice Location Address
First Line	:	132 S. 10TH STREET
Second Line	:	1087 MAIN BUILDING
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107
Country	:	US
Telephone Number	:	215-955-6028
Fax Number	:

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

Provider Enumeration Date	:	05/06/2014
Last Update Date	:	08/16/2019

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