Provider Demographics
NPI:1912925983
Name:CENTRAL BUCKS INTERNAL MEDICINE, P.C.
Entity Type:Organization
Organization Name:CENTRAL BUCKS INTERNAL MEDICINE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BOHDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTYNEC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-348-4478
Mailing Address - Street 1:301 S MAIN ST
Mailing Address - Street 2:SUITE 2 SOUTH
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4870
Mailing Address - Country:US
Mailing Address - Phone:215-348-4478
Mailing Address - Fax:215-348-2452
Practice Address - Street 1:301 S MAIN ST
Practice Address - Street 2:SUITE 2 SOUTH
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4870
Practice Address - Country:US
Practice Address - Phone:215-348-4478
Practice Address - Fax:215-348-2452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
819122Medicare ID - Type Unspecified