Healthcare Provider Details

I. General information

NPI: 1275660086
Provider Name (Legal Business Name): JULIA CURTIN HAYES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3116 W COULTER ST
PHILADELPHIA PA
19129-1002
US

IV. Provider business mailing address

3116 W COULTER ST
PHILADELPHIA PA
19129-1002
US

V. Phone/Fax

Practice location:
  • Phone: 215-849-6050
  • Fax: 215-849-6051
Mailing address:
  • Phone: 215-849-6050
  • Fax: 215-849-6051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0008X
TaxonomyPediatric Neurodevelopmental Disabilities Physician
License NumberMD016363E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: