MEDICARE: DR. JOYCE H HAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD06714L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	080164565	OTHER	PA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0353642000	OTHER		PERSONAL CHOICE
3	2511777	OTHER	PA	AETNA
4	30008383	OTHER	PA	KEYSTONE MERCY
5	0353642000	OTHER	PA	KEYSTONE
6	589909	OTHER	PA	BLUE SHIELD
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	P2782959	OTHER		OXFORD
9	0184473801	OTHER		AMERICHOICE

General Provider Information

NPI Number	:	1770576159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOYCE H HAN MD

Provider Business Mailing Address
First Line	:	3542 WELSH RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19136-2623
Country	:	US
Telephone Number	:	215-333-6888
Fax Number	:	215-333-3945

Provider Business Practice Location Address
First Line	:	3542 WELSH RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19136-2623
Country	:	US
Telephone Number	:	215-333-6888
Fax Number	:	215-333-3945

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	05/23/2014

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Directions to “ DR. JOYCE H HAN MD” Practice Location

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