Provider Demographics
NPI:1073632816
Name:CENTRAL BUCKS SPECIALISTS
Entity Type:Organization
Organization Name:CENTRAL BUCKS SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-345-6050
Mailing Address - Street 1:599 W STATE ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2567
Mailing Address - Country:US
Mailing Address - Phone:215-345-6050
Mailing Address - Fax:215-345-6568
Practice Address - Street 1:599 W STATE ST
Practice Address - Street 2:SUITE 200
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2567
Practice Address - Country:US
Practice Address - Phone:215-345-6050
Practice Address - Fax:215-345-6568
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL BUCKS SPECIALISTS, LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-29
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207RC0000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012965260017Medicaid
PA072403Medicare PIN