Healthcare Provider Details

I. General information

NPI: 1952373011
Provider Name (Legal Business Name): DOYLESTOWN EMERGENCY ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 W STATE ST
DOYLESTOWN PA
18901-2554
US

IV. Provider business mailing address

PO BOX 826677
PHILADELPHIA PA
19182-6677
US

V. Phone/Fax

Practice location:
  • Phone: 215-345-2673
  • Fax: 267-885-1718
Mailing address:
  • Phone: 267-994-1477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT N SLADE
Title or Position: PRESIDENT
Credential: MD
Phone: 215-345-2673