| Doctor Name: | DR. JONATHAN J UY |
| NPI Number: | 1245205632 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | E4181 |
| Business Practice Address: | 500 Alfred Nobel Dr Suite 265 Hercules, CA - 945471838 |
| Business Phone Number: | 5107244674 |
| Business Fax Number: | 5107244676 |
| Mailing Address: | 500 Alfred Nobel Dr, Suite 265 HERCULES |
| State: | CA |
| Postal Code: | 945471838 |
| Phone Number: | 5107244674 |
| Fax Number: | 5107244676 |
| NPI Enumeration Date: | 02/21/2006 |
| NPI Last Update Date: | 09/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | E4181 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |