Healthcare Provider Details

I. General information

NPI: 1073632816
Provider Name (Legal Business Name): CENTRAL BUCKS SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 11/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

599 W STATE ST SUITE 200
DOYLESTOWN PA
18901-2567
US

IV. Provider business mailing address

599 W STATE ST SUITE 200
DOYLESTOWN PA
18901-2567
US

V. Phone/Fax

Practice location:
  • Phone: 215-345-6050
  • Fax: 215-345-6568
Mailing address:
  • Phone: 215-345-6050
  • Fax: 215-345-6568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number StatePA

VIII. Authorized Official

Name: DR. ROBERT H HALE
Title or Position: MD
Credential: MD
Phone: 215-345-6050