Provider Demographics
NPI:1871783043
Name:DOYLESTOWN & WARRINGTON FAMILY PRACTICE
Entity type:Organization
Organization Name:DOYLESTOWN & WARRINGTON FAMILY PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:OANH
Authorized Official - Middle Name:KIEU
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-348-4914
Mailing Address - Street 1:14 MEMORIAL DR STE B
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-3529
Mailing Address - Country:US
Mailing Address - Phone:215-348-4914
Mailing Address - Fax:215-348-0926
Practice Address - Street 1:14 MEMORIAL DR STE B
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-3529
Practice Address - Country:US
Practice Address - Phone:215-348-4914
Practice Address - Fax:215-348-0926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA478321Medicare PIN