# EAST NORRITON PHYSICIANS SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercy Family Medicine at Norristown
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144210584
- **Authorized official:** PETER B KENNIFF (CFO)
- **Authorized official phone:** (610) 567-6967

## Contact information

- **Practice address:** 1437 DEKALB ST, SUITE 101, NORRISTOWN, PA 19401-3440
- **Practice address phone:** (610) 275-7240
- **Practice address fax:** (610) 275-1381
- **Mailing address:** 1 W ELM ST, SUITE 100, CONSHOHOCKEN, PA 19428-2007
- **Mailing address phone:** (610) 567-6967
- **Mailing address fax:** (610) 567-6170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2005
- **Last updated:** 09/29/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000047 | AUSHC OFFICE NUMBER | PA |
| 05 | — | 1007594660038 | — | PA |
| 01 | — | 1026335 | KMHP | PA |
| 01 | — | 202264000P | OWCP | PA |
| 01 | — | 2097129000 | KHPE | PA |
| 01 | — | 5178482 | AUSHC PPO | PA |
| 01 | — | 5399 | AUSHC HMO | PA |
| 01 | — | DE1404878 | HIGHMARK BLUE SHIELD | PA |
| 01 | — | G001062200 | AMERICHOICE | PA |
