Healthcare Provider Details

I. General information

NPI: 1376160077
Provider Name (Legal Business Name): MATTHEW DORCUS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2020
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4379 EASTON AVE STE 100
BETHLEHEM PA
18020-1483
US

IV. Provider business mailing address

4379 EASTON AVE STE 100
BETHLEHEM PA
18020-1483
US

V. Phone/Fax

Practice location:
  • Phone: 484-403-2424
  • Fax: 866-865-0916
Mailing address:
  • Phone: 484-503-2424
  • Fax: 866-865-0916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS023075
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: