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Organization

EAST NORRITON PHYSICIANS SERVICES

Active
Other names
Mercy Specialty Services
Organization subpart
No

Provider details

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

Contact information

Practice address
2705 DEKALB PIKE, SUITE 309, NORRISTOWN, PA 19401-1852
(610) 277-6131
(610) 277-4966
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
207RH0003X
Hematology & Oncology Physician
208600000X
Surgery Physician
Primary
2086S0129X
Vascular Surgery Physician
213E00000X
Podiatrist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001750894
HIGHMARK BLUE SHIELD
PA
05
1007594660063
PA
01
2418384000
KHPE
PA
01
30024838
KMHP
PA
01
3985911
AUSHC HMO
PA
01
7467716
AUSHC PPO
PA
01
G001162600
AMERICHOICE
PA
Enumeration date
10/28/2005
Last updated
08/05/2011
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