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Organization

EAST NORRITON PHYSICIANS SERVICES

Active
Other names
Mercy Women's Health Care
Organization subpart
No

Provider details

NPI number
Authorized official
PETER B KENNIFF (CFO)
(610) 567-6967
Entity
Organization

Contact information

Practice address
790 PENLLYN BLUE BELL PIKE, SUITE 101, BLUE BELL, PA 19422-1656
(215) 542-9700
(215) 542-9756
Mailing address
1 W ELM ST, SUITE 100, CONSHOHOCKEN, PA 19428-2007
(610) 567-6967
(610) 567-6955

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
208600000X
Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004673335
AUSHC PPO
PA
05
1007594660039
PA
01
1417634
HIGHMARK BLUE SHIELD
PA
01
2104255000
KMHP
PA
01
2897934
AUSHC HMO
PA
01
33689
HEALTHPARTNERS
PA
Enumeration date
08/25/2005
Last updated
01/14/2008
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