| Doctor Name: | JULIE FAY PLATT |
| NPI Number: | 1588003321 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | K1281 |
| Business Practice Address: | 2 Sharpe St Kingston, PA - 187043715 |
| Business Phone Number: | 5705528966 |
| Business Fax Number: | 5705528958 |
| Mailing Address: | 3 Old Well Ln, DALLAS |
| State: | PA |
| Postal Code: | 186121733 |
| Phone Number: | 2143523953 |
| Fax Number: | |
| NPI Enumeration Date: | 06/14/2013 |
| NPI Last Update Date: | 06/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | K1281 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |