Provider Demographics
NPI:1386148948
Name:PALMBACH, JOSHUA MARK (DO)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:MARK
Last Name:PALMBACH
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:3500 N BROAD ST RM 1A
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19140-4106
Mailing Address - Country:US
Mailing Address - Phone:215-707-2433
Mailing Address - Fax:
Practice Address - Street 1:8815 GERMANTOWN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-2722
Practice Address - Country:US
Practice Address - Phone:215-836-5120
Practice Address - Fax:215-836-2852
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-20
Last Update Date:2024-04-25
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Provider Licenses
StateLicense IDTaxonomies
PAOS023042208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery