Provider Demographics
NPI:1336140110
Name:DOUGLAS F. TURTZO M.D. P.C.
Entity Type:Organization
Organization Name:DOUGLAS F. TURTZO M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:FLOUHLIH
Authorized Official - Last Name:TURTZO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-860-9059
Mailing Address - Street 1:101 S SCHANCK AVE
Mailing Address - Street 2:
Mailing Address - City:PEN ARGYL
Mailing Address - State:PA
Mailing Address - Zip Code:18072-1697
Mailing Address - Country:US
Mailing Address - Phone:610-863-9059
Mailing Address - Fax:610-863-1995
Practice Address - Street 1:101 S SCHANCK AVE
Practice Address - Street 2:
Practice Address - City:PEN ARGYL
Practice Address - State:PA
Practice Address - Zip Code:18072-1697
Practice Address - Country:US
Practice Address - Phone:610-863-9059
Practice Address - Fax:610-863-1995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-03
Last Update Date:2022-07-21
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
02358000OtherCAPITAL BC
137063OtherHIGHMARKS BS
02358000OtherCAPITAL BC