Provider Demographics
NPI:1639549785
Name:BUCKS THYROID & ENDOCRINE CARE LLC
Entity Type:Organization
Organization Name:BUCKS THYROID & ENDOCRINE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED REP/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ACHILLES
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPARSENOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-754-5050
Mailing Address - Street 1:301 OXFORD VALLEY RD
Mailing Address - Street 2:SUITE 1803A
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-7725
Mailing Address - Country:US
Mailing Address - Phone:215-754-5050
Mailing Address - Fax:215-754-5041
Practice Address - Street 1:301 OXFORD VALLEY RD
Practice Address - Street 2:SUITE 1803A
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-7725
Practice Address - Country:US
Practice Address - Phone:215-754-5050
Practice Address - Fax:215-754-5041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-01
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA459759Medicare PIN