Provider Demographics
NPI:1982601241
Name:TOPAKAS, DEBORAH A (DO)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:A
Last Name:TOPAKAS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:484 HARLEYSVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-2230
Mailing Address - Country:US
Mailing Address - Phone:215-256-8040
Mailing Address - Fax:215-256-4857
Practice Address - Street 1:484 HARLEYSVILLE PIKE
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-2230
Practice Address - Country:US
Practice Address - Phone:215-256-8040
Practice Address - Fax:215-256-4857
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS011944207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAI10579Medicare UPIN
PA080872Medicare ID - Type Unspecified