Healthcare Provider Details

I. General information

NPI: 1093771420
Provider Name (Legal Business Name): OXFORD VALLEY MEDICAL PRACTICE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 03/25/2021
Certification Date: 03/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 MIDDLETOWN BLVD STE 301
LANGHORNE PA
19047-3202
US

IV. Provider business mailing address

320 MIDDLETOWN BLVD STE 301 PO BOX 908
LANGHORNE PA
19047-3202
US

V. Phone/Fax

Practice location:
  • Phone: 267-568-2042
  • Fax: 267-568-2089
Mailing address:
  • Phone: 267-568-2042
  • Fax: 267-568-2089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS005896L
License Number StatePA

VIII. Authorized Official

Name: DR. MICHAEL DAVID SMITH
Title or Position: PHYSICIAN/PRESIDENT
Credential: D.O.
Phone: 215-262-5736