Provider Demographics
NPI:1265626048
Name:GETZOFF, BARRY L (DO)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:L
Last Name:GETZOFF
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:920 TOWN CENTER DR STE I30
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-4256
Mailing Address - Country:US
Mailing Address - Phone:215-752-8680
Mailing Address - Fax:215-752-9868
Practice Address - Street 1:920 TOWN CENTER DR STE I30
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-4256
Practice Address - Country:US
Practice Address - Phone:215-752-8680
Practice Address - Fax:215-752-9868
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2018-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS001763L207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADG4407OtherMEDICARE GROUP
143160Medicare PIN
PADG4407OtherMEDICARE GROUP