Provider Demographics
NPI:1053670851
Name:DOYLESTOWN INFECTIOUS DISEASE ASSOCIATES, LLC
Entity Type:Organization
Organization Name:DOYLESTOWN INFECTIOUS DISEASE ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:SILVERBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:267-880-6975
Mailing Address - Street 1:599 W STATE ST
Mailing Address - Street 2:SUITE 215
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2567
Mailing Address - Country:US
Mailing Address - Phone:267-880-6975
Mailing Address - Fax:267-880-6981
Practice Address - Street 1:599 W STATE ST
Practice Address - Street 2:SUITE 215
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2567
Practice Address - Country:US
Practice Address - Phone:267-880-6975
Practice Address - Fax:267-880-6981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-14
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD029551E207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty