Provider Demographics
NPI:1912944935
Name:BUXMONT ENDOCRINOLOGY PC
Entity Type:Organization
Organization Name:BUXMONT ENDOCRINOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:SPRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-538-2004
Mailing Address - Street 1:1021 PARK AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1574
Mailing Address - Country:US
Mailing Address - Phone:215-538-2004
Mailing Address - Fax:215-538-2015
Practice Address - Street 1:1021 PARK AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1574
Practice Address - Country:US
Practice Address - Phone:215-538-2004
Practice Address - Fax:215-538-2015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2950426OtherAETNA
PA0019153200001Medicaid
060532Medicare ID - Type Unspecified