MEDICARE: DR. MARTIN BRIAN GETZOW MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD041215E	PA

General Provider Information

NPI Number	:	1194729566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN BRIAN GETZOW MD

Provider Business Mailing Address
First Line	:	1700 HORIZON DR
Second Line	:	STE 203
City	:	CHALFONT
State	:	PA
Zip	:	18914-3950
Country	:	US
Telephone Number	:	215-997-0890
Fax Number	:	215-997-9652

Provider Business Practice Location Address
First Line	:	1700 HORIZON DR
Second Line	:	STE 203
City	:	CHALFONT
State	:	PA
Zip	:	18914-3950
Country	:	US
Telephone Number	:	215-997-0890
Fax Number	:	215-997-9652

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	07/14/2014

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