| East Norriton Physicians Services | |
|
1437 Dekalb St Suite 101 Norristown PA 19401-3440 | |
| (610) 275-7240 | |
| (610) 275-1381 |
| Full Name | East Norriton Physicians Services |
|---|---|
| Speciality | General Practice |
| Location | 1437 Dekalb St, Norristown, Pennsylvania |
| Authorized Official Name and Position | Peter B Kenniff (CFO) |
| Authorized Official Contact | 6105676967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Norriton Physicians Services 1 W Elm St Suite 100 Conshohocken PA 19428-2007 Ph: (610) 567-6967 | East Norriton Physicians Services 1437 Dekalb St Suite 101 Norristown PA 19401-3440 Ph: (610) 275-7240 |
| NPI Number | 1144210584 |
|---|---|
| Provider Enumeration Date | 10/26/2005 |
| Last Update Date | 09/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144210584 | NPI | - | NPPES |
| 000047 | Other | PA | AUSHC OFFICE NUMBER |
| 2097129000 | Other | PA | KHPE |
| 202264000P | Other | PA | OWCP |
| G001062200 | Other | PA | AMERICHOICE |
| DE1404878 | Other | PA | HIGHMARK BLUE SHIELD |
| 1007594660038 | Medicaid | PA | |
| 1026335 | Other | PA | KMHP |
| 5178482 | Other | PA | AUSHC PPO |
| 5399 | Other | PA | AUSHC HMO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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