Healthcare Provider Details

I. General information

NPI: 1356385538
Provider Name (Legal Business Name): JOYCE L ECKARD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 EDGEWOOD DRIVE EXT
TRANSFER PA
16154-1817
US

IV. Provider business mailing address

100 SHENANGO AVE
SHARON PA
16146-1503
US

V. Phone/Fax

Practice location:
  • Phone: 724-962-3553
  • Fax: 724-962-3630
Mailing address:
  • Phone: 724-962-3553
  • Fax: 724-962-3630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD048239L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: