Healthcare Provider Details

I. General information

NPI: 1194719278
Provider Name (Legal Business Name): JULIE A JOYCE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2005
Last Update Date: 03/09/2021
Certification Date: 03/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3807 FRIENDSVILLE RD
WOOSTER OH
44691-9601
US

IV. Provider business mailing address

6046 WHIPPLE AVE NW
NORTH CANTON OH
44720-7616
US

V. Phone/Fax

Practice location:
  • Phone: 330-345-1100
  • Fax:
Mailing address:
  • Phone: 330-433-1777
  • Fax: 330-305-5001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35069302
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: