| Horsham Family Practice | |
|
1116 Horsham Rd Suite 10 Ambler PA 19002-1143 | |
| (215) 643-8500 | |
| (215) 643-6999 |
| Full Name | Horsham Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1116 Horsham Rd, Ambler, Pennsylvania |
| Authorized Official Name and Position | Michael B Walsh (SENIOR VP FINANCE) |
| Authorized Official Contact | 2154812850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horsham Family Practice Po Box 826594 Suite 10 Philadelphia PA 19182-6594 Ph: (215) 643-8500 | Horsham Family Practice 1116 Horsham Rd Suite 10 Ambler PA 19002-1143 Ph: (215) 643-8500 |
| NPI Number | 1871547570 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 10/10/2022 |
| Medicare PECOS PAC ID | 3274437736 |
|---|---|
| Medicare Enrollment ID | O20040113000673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871547570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Anthony G Wydan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427054741 PECOS PAC ID: 1052212453 Enrollment ID: I20040119000298 |
| Provider Name | Suzanne M Shorten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215986864 PECOS PAC ID: 6901805993 Enrollment ID: I20061221000193 |
| Provider Name | Angela Marie Pinheiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144660309 PECOS PAC ID: 3971729039 Enrollment ID: I20180619003529 |
| Provider Name | Elizabeth Assenmacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477228773 PECOS PAC ID: 2668860065 Enrollment ID: I20211103001665 |
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