| Organization Name: | MICHAEL D. OVERBECK,M.D.P.A. |
| NPI Number: | 1386681799 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL DAVID OVERBECK (PHYSICIAN) |
| Mailing Address: | 1100 Fayette St Conshohocken |
| State: | PA US |
| Postal Code: | 194281564 |
| Phone Number: | 6108282026 |
| Fax Number: | |
| NPI Enumeration Date: | 06/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | MD024388E |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |