Provider Demographics
NPI:1285693507
Name:KROSER, JOYANN ALLISON (MD)
Entity type:Individual
Prefix:DR
First Name:JOYANN
Middle Name:ALLISON
Last Name:KROSER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE MEDICAL CENTER BLVD
Mailing Address - Street 2:ACP 231
Mailing Address - City:UPLAND
Mailing Address - State:PA
Mailing Address - Zip Code:19013-1459
Mailing Address - Country:US
Mailing Address - Phone:610-619-7475
Mailing Address - Fax:610-619-7477
Practice Address - Street 1:ONE MEDICAL CENTER BLVD
Practice Address - Street 2:ACP # 231
Practice Address - City:UPLAND
Practice Address - State:PA
Practice Address - Zip Code:19013-1459
Practice Address - Country:US
Practice Address - Phone:610-619-7475
Practice Address - Fax:610-619-7477
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD048015L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0278295000OtherKEYSTONE HPE
PA1571597Medicaid
PA319407OtherAETNA USHC SCP
PA33676MD048015LOtherHEALTH PARTNERS
PA1005328OtherKEYSTONE MERCY
PA3Y1712OtherPHS HEALTH NET
PA01571597-07OtherAMERICHOICE
PA170125OtherPERSONAL CHOICE
PAKR170125OtherBLUE SHIELD/PA
PA319407OtherAETNA USHC SCP
PA170125Medicare PIN