Provider Demographics
NPI:1528120136
Name:POWELL, JULIA L (MD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:L
Last Name:POWELL
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 1:3706 KENNETT PIKE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19807-2157
Mailing Address - Country:US
Mailing Address - Phone:302-623-6320
Mailing Address - Fax:
Practice Address - Street 1:3706 KENNETT PIKE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:DE
Practice Address - Zip Code:19807-2157
Practice Address - Country:US
Practice Address - Phone:302-623-6320
Practice Address - Fax:302-421-5200
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2017-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD423485207V00000X
DEC1-0009413207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101409720Medicaid
PAI41711Medicare UPIN
PA101409720Medicaid
PA094616Medicare ID - Type Unspecified