Provider Demographics
NPI:1760675714
Name:JOFFE, DENISE (MD)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:JOFFE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:825 OLD LANCASTER RD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3200
Mailing Address - Country:US
Mailing Address - Phone:610-527-1604
Mailing Address - Fax:610-525-8018
Practice Address - Street 1:825 OLD LANCASTER RD
Practice Address - Street 2:SUITE 320
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3200
Practice Address - Country:US
Practice Address - Phone:610-527-1604
Practice Address - Fax:610-525-8018
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD425422207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
1906120OtherCIGNA
P3853530OtherOXFORD/UNITED
1636603OtherAETNA
01004600100OtherAMERICHOICE
2825984OtherUNITED HEALTH CARE
3K7719OtherHEALTHNET
NJ0143294Medicaid
NJ25MA08305600OtherNJ MEDICAL LICENSE
27150OtherUNIVERSITY HEALTH PLAN
P00460069OtherR R MEDICRE
PA1031020070001Medicaid
PA1988425OtherPA BLUE SHIELD
2864108000OtherAMERIHEALTH HMO, KEYSTONE, IBC
60036328OtherHIRIZON NJ HEALTH
PA1988425OtherPA BLUE SHIELD
PA200977EGWMedicare PIN