Provider Demographics
NPI:1518987338
Name:TAW, JULIE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:
Last Name:TAW
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 W. 52ND ST.
Mailing Address - Street 2:APT 2E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:646-628-2669
Mailing Address - Fax:866-308-1089
Practice Address - Street 1:515 MADISON AVE
Practice Address - Street 2:9TH FLOOR, #8130
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:646-628-2669
Practice Address - Fax:866-308-1089
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07464600207R00000X
NY220648207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0010219Medicaid
NJH41906Medicare UPIN
NJ0010219Medicaid