Provider Demographics
NPI:1669694212
Name:HARRY A. DOYLE, M.D., P.C.
Entity type:Organization
Organization Name:HARRY A. DOYLE, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:DOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-567-4335
Mailing Address - Street 1:230 SOUTH 22ND STREET
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-5520
Mailing Address - Country:US
Mailing Address - Phone:215-567-4335
Mailing Address - Fax:215-567-4337
Practice Address - Street 1:230 SOUTH 22ND STREET
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-5520
Practice Address - Country:US
Practice Address - Phone:215-567-4335
Practice Address - Fax:215-567-4337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD013730E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB34451Medicare UPIN
PA052809Medicare ID - Type Unspecified