Healthcare Provider Details

I. General information

NPI: 1295815793
Provider Name (Legal Business Name): JOAN M UEHLINGER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MMC - DEPT OF PATHOLOGY 111 EAST 210TH STREET, NORTH
BRONX NY
10467
US

IV. Provider business mailing address

73 WINDSOR RD
TENAFLY NJ
07670-2615
US

V. Phone/Fax

Practice location:
  • Phone: 718-920-4559
  • Fax:
Mailing address:
  • Phone:
  • Fax: 718-882-1036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number147168
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: