Provider Demographics
NPI:1598757205
Name:HOTTENSTEIN, JOSHUA DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:DAVID
Last Name:HOTTENSTEIN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 BUFFALO RD STE 207
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-1151
Mailing Address - Country:US
Mailing Address - Phone:570-908-4053
Mailing Address - Fax:
Practice Address - Street 1:130 BUFFALO RD STE 207
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-1151
Practice Address - Country:US
Practice Address - Phone:570-908-4053
Practice Address - Fax:570-755-7077
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD425463207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine