Organization
ABRAMSON CENTER FOR JEWISH LIFE MEDICAL GROUP
Active
Parent organization
MADLYN AND LEONARD ABRAMSON CENTER FOR JEWISH LIFE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MADLYN AND LEONARD ABRAMSON CENTER FOR JEWISH LIFE
Authorized official
MARK WASSERMAN (CHIEF FINANCIAL OFFICER)
(215) 371-3000
Entity
Organization
Contact information
Practice address
135 S BRYN MAWR AVE, SUITE 110, BRYN MAWR, PA 19010-3106
(215) 371-3000
Mailing address
1425 HORSHAM RD, NORTH WALES, PA 19454-1320
(215) 371-3000
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006341
INDEPENDENCE BLUE CROSS
PA
05
—
1007600910035
—
PA
05
—
1007600910039
—
PA
01
—
39010
EVERCARE UNITED HEALTH
PA
01
—
391700
MEDICARE HOSPICE (CAHABA)
PA
Enumeration date
03/29/2017
Last updated
03/29/2017
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