Healthcare Provider Details

I. General information

NPI: 1003808213
Provider Name (Legal Business Name): JOSEPH DOYLE WALTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 06/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 LAWN AVE SUITE 3A
SELLERSVILLE PA
18960-1571
US

IV. Provider business mailing address

PO BOX 440
SELLERSVILLE PA
18960-0440
US

V. Phone/Fax

Practice location:
  • Phone: 215-257-9500
  • Fax: 215-257-3578
Mailing address:
  • Phone: 215-257-9500
  • Fax: 215-257-3578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberMD-070714-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: