Organization
EAST NORRITON PHYSICIANS SERVICES
Active
Other names
Mercy Family Medicine of East Norriton
Organization subpart
No
Provider details
NPI number
Authorized official
PETER B KENNIFF (CFO)
(610) 567-6967
Entity
Organization
Contact information
Practice address
190 W GERMANTOWN PIKE, SUITE 110, EAST NORRITON, PA 19401-1385
(610) 272-0190
(610) 272-4428
Mailing address
1 W ELM ST, SUITE 100, CONSHOHOCKEN, PA 19428-4108
(610) 567-6967
(610) 567-6170
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007594660066
—
PA
01
—
2025321
HIGHMARK BLUE SHIELD
PA
01
—
30050608
KEYSTONE MERCY
PA
01
—
3424972001
IBC/KHPE
PA
Enumeration date
03/03/2008
Last updated
03/10/2010
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