Healthcare Provider Details

I. General information

NPI: 1356696348
Provider Name (Legal Business Name): JUSTIN PALATT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2012
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 S EASTON RD STE 308
DOYLESTOWN PA
18901-7100
US

IV. Provider business mailing address

2003 S EASTON RD STE 308
DOYLESTOWN PA
18901-7100
US

V. Phone/Fax

Practice location:
  • Phone: 267-317-8243
  • Fax: 267-494-1971
Mailing address:
  • Phone: 267-317-8243
  • Fax: 267-494-1971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD466748
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number292132
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD466748
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: