Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service | PSOO2581 | PA |
NPI | 1336268069 |
---|---|
Provider Name | Dr. Joseph William Knox |
First Address | Newtown Square, PA 19073-2808 |
Second Address | Newtown Square, PA 19073-2808 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 08/07/2007 |