Healthcare Provider Details
I. General information
NPI: 1669732012
Provider Name (Legal Business Name): DOYLESTOWN HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/19/2012
Last Update Date: 05/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2434 N WHITTMORE ST
FURLONG PA
18925-1506
US
IV. Provider business mailing address
2434 N WHITTMORE ST
FURLONG PA
18925-1506
US
V. Phone/Fax
- Phone: 215-534-8481
- Fax:
- Phone: 215-534-8481
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 282NC2000X |
| Taxonomy | Children's Hospital |
| License Number | SPO11355 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | SPO11355 |
| License Number State | PA |
VIII. Authorized Official
Name:
JENNIFER
HARRAR
Title or Position: CRNP
Credential:
Phone: 215-345-2200