Provider Demographics
NPI:1487820775
Name:HELSTROM, JULIA MAE (DO)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:MAE
Last Name:HELSTROM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:4190 CITY AVE
Mailing Address - Street 2:STE 777
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-1626
Mailing Address - Country:US
Mailing Address - Phone:215-871-6910
Mailing Address - Fax:215-871-6905
Practice Address - Street 1:5830 HENRY AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19128-1754
Practice Address - Country:US
Practice Address - Phone:215-483-3800
Practice Address - Fax:215-483-4414
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2011-05-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS014415207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA127081E7HMedicare PIN