Provider Demographics
NPI:1447325204
Name:JOSEPH, DANETTE J (MD)
Entity type:Individual
Prefix:DR
First Name:DANETTE
Middle Name:J
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:
Practice Address - Street 1:1401 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-2244
Practice Address - Country:US
Practice Address - Phone:717-356-5198
Practice Address - Fax:717-356-5199
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD446650207Q00000X
NY253049207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03113751Medicaid
PA1027540840001Medicaid
PA1027540840001Medicaid
PA245887YUNMMedicare PIN