Provider Demographics
NPI:1588618136
Name:DOYLESTOWN ORTHOPAEDIC SPECIALISTS PC
Entity Type:Organization
Organization Name:DOYLESTOWN ORTHOPAEDIC SPECIALISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-345-5840
Mailing Address - Street 1:103 PROGRESS DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2511
Mailing Address - Country:US
Mailing Address - Phone:215-345-5840
Mailing Address - Fax:215-345-4478
Practice Address - Street 1:103 PROGRESS DR
Practice Address - Street 2:SUITE 300
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2511
Practice Address - Country:US
Practice Address - Phone:215-345-5840
Practice Address - Fax:215-345-4478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017752470003Medicaid
PA0017752470003Medicaid