Provider Demographics
NPI:1962692608
Name:BUX-MONTOB/GYN LLC
Entity type:Organization
Organization Name:BUX-MONTOB/GYN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NILA
Authorized Official - Middle Name:K
Authorized Official - Last Name:SENDZIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-308-0430
Mailing Address - Street 1:708 N SHADY RETREAT RD
Mailing Address - Street 2:SUITE #7
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2503
Mailing Address - Country:US
Mailing Address - Phone:267-308-0430
Mailing Address - Fax:267-308-0434
Practice Address - Street 1:1100 HORIZON CIR
Practice Address - Street 2:SUITE 103
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-3971
Practice Address - Country:US
Practice Address - Phone:267-308-0430
Practice Address - Fax:267-308-0434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty