Provider Demographics
NPI:1154449452
Name:DOYLESTOWN MEDICAL ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:DOYLESTOWN MEDICAL ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D. PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BOHDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTYNEC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-348-4478
Mailing Address - Street 1:800 W STATE ST STE 201
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-5842
Mailing Address - Country:US
Mailing Address - Phone:215-348-4478
Mailing Address - Fax:
Practice Address - Street 1:800 W STATE ST STE 201
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-5842
Practice Address - Country:US
Practice Address - Phone:215-348-4478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA113070Medicare PIN