Healthcare Provider Details

I. General information

NPI: 1124126578
Provider Name (Legal Business Name): DAVID A. DOYLE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 01/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 EATON AVE
BETHLEHEM PA
18018-1862
US

IV. Provider business mailing address

1107 EATON AVE
BETHLEHEM PA
18018-1862
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-2400
  • Fax: 484-526-3697
Mailing address:
  • Phone: 484-526-2400
  • Fax: 484-526-3697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberOS007672L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: