Provider Demographics
NPI:1841282183
Name:WARSHAW, JOEL DAVID (MD)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:DAVID
Last Name:WARSHAW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2000 OXFORD DR
Mailing Address - Street 2:SUITE 440
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-1827
Mailing Address - Country:US
Mailing Address - Phone:412-833-2233
Mailing Address - Fax:412-833-2293
Practice Address - Street 1:2000 OXFORD DR
Practice Address - Street 2:SUITE 440
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-1827
Practice Address - Country:US
Practice Address - Phone:412-833-2233
Practice Address - Fax:412-833-2293
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-22
Last Update Date:2010-11-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD057587L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG19979Medicare UPIN