Organization
EAST NORRITON PHYSICIANS SERVICES
Active
Other names
Mercy Family Medicine at Norristown
Organization subpart
No
Provider details
NPI number
Authorized official
PETER B KENNIFF (CFO)
(610) 567-6967
Entity
Organization
Contact information
Practice address
1437 DEKALB ST, SUITE 101, NORRISTOWN, PA 19401-3440
(610) 275-7240
(610) 275-1381
Mailing address
1 W ELM ST, SUITE 100, CONSHOHOCKEN, PA 19428-2007
(610) 567-6967
(610) 567-6170
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
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
Enumeration date
10/26/2005
Last updated
09/29/2010
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