| Doherty Family Medicine Llc | |
|
1703 Langhorne Newtown Rd Ste 3 Langhorne PA 19047-1082 | |
| (267) 564-2021 | |
| (267) 564-2028 |
| Full Name | Doherty Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1703 Langhorne Newtown Rd Ste 3, Langhorne, Pennsylvania |
| Authorized Official Name and Position | Lisa Jill Doherty (OWNER) |
| Authorized Official Contact | 2675642021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doherty Family Medicine Llc 70 Old Dublin Pike Apt K8 Doylestown PA 18901-3423 Ph: (484) 387-0511 | Doherty Family Medicine Llc 1703 Langhorne Newtown Rd Ste 3 Langhorne PA 19047-1082 Ph: (267) 564-2021 |
| NPI Number | 1730772922 |
|---|---|
| Provider Enumeration Date | 02/18/2021 |
| Last Update Date | 02/18/2021 |
| Medicare PECOS PAC ID | 7012323702 |
|---|---|
| Medicare Enrollment ID | O20210303003065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730772922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lisa J Doherty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447356357 PECOS PAC ID: 3476500273 Enrollment ID: I20050404001050 |
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