Provider Demographics
NPI:1447285077
Name:ENT ASSOCIATES OF BUCKS & MONTGOMERY COUNTIES
Entity type:Organization
Organization Name:ENT ASSOCIATES OF BUCKS & MONTGOMERY COUNTIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:NADEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-345-5323
Mailing Address - Street 1:599 W STATE ST STE 201
Mailing Address - Street 2:THE PAVILION AT DOYLESTOWN HOSPITAL
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901
Mailing Address - Country:US
Mailing Address - Phone:215-345-5323
Mailing Address - Fax:215-345-5329
Practice Address - Street 1:599 W STATE ST STE 201
Practice Address - Street 2:THE PAVILION AT DOYLESTOWN HOSPITAL
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901
Practice Address - Country:US
Practice Address - Phone:215-345-5323
Practice Address - Fax:215-345-5329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1382033Medicare ID - Type Unspecified