Provider Demographics
NPI:1003879941
Name:BARRY L GETZOFF ASSOCIATES
Entity Type:Organization
Organization Name:BARRY L GETZOFF ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RHUEMATOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:LIONEL
Authorized Official - Last Name:GETZOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-752-8680
Mailing Address - Street 1:300 MIDDLETOWN BLVD
Mailing Address - Street 2:THE COURTYARD SUITE 103
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-3202
Mailing Address - Country:US
Mailing Address - Phone:215-752-8680
Mailing Address - Fax:215-752-9868
Practice Address - Street 1:300 MIDDLETOWN BLVD
Practice Address - Street 2:THE COURTYARD SUITE 103
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-3202
Practice Address - Country:US
Practice Address - Phone:215-752-8680
Practice Address - Fax:215-752-9868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-11
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS001763L207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADG4407OtherMEDICARE GROUP
PADG4407OtherMEDICARE GROUP
PA143160Medicare ID - Type Unspecified