Provider Demographics
NPI:1699743377
Name:HOPE, JOSEPH D (DO)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:D
Last Name:HOPE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1048 W BALTIMORE PIKE
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-5168
Mailing Address - Country:US
Mailing Address - Phone:484-621-1100
Mailing Address - Fax:310-627-4789
Practice Address - Street 1:1048 W BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-6300
Practice Address - Country:US
Practice Address - Phone:484-621-1100
Practice Address - Fax:610-627-4789
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-008496-L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017450880001Medicaid
PA883346UCAMedicare ID - Type Unspecified
PA0017450880001Medicaid