Healthcare Provider Details

I. General information

NPI: 1124139746
Provider Name (Legal Business Name): JOSHUA L DUNAIEF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 N 39TH STREET SCHEIE EYE INSTITUTE
PHILADELPHIA PA
19104
US

IV. Provider business mailing address

51 N 39TH STREET SCHEIE EYE INSTITUTE
PHILADELPHIA PA
19104
US

V. Phone/Fax

Practice location:
  • Phone: 215-614-4100
  • Fax: 215-615-0527
Mailing address:
  • Phone: 215-614-4100
  • Fax: 215-615-0527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD070121L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: