| Mercy Family Medicine Of East Norriton | |
|
190 W Germantown Pike Suite 110 East Norriton PA 19401-1385 | |
| (610) 272-0190 | |
| (610) 272-4428 |
| Full Name | Mercy Family Medicine Of East Norriton |
|---|---|
| Speciality | Family Medicine |
| Location | 190 W Germantown Pike, East Norriton, 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 |
|---|---|
| Mercy Family Medicine Of East Norriton 1 W Elm St Suite 100 Conshohocken PA 19428-4108 Ph: (610) 567-6967 | Mercy Family Medicine Of East Norriton 190 W Germantown Pike Suite 110 East Norriton PA 19401-1385 Ph: (610) 272-0190 |
| NPI Number | 1104096593 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 03/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104096593 | NPI | - | NPPES |
| 2025321 | Other | PA | HIGHMARK BLUE SHIELD |
| 3424972001 | Other | PA | IBC/KHPE |
| 1007594660066 | Medicaid | PA | |
| 30050608 | Other | PA | KEYSTONE MERCY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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