Organization
EAST NORRITON PHYSICIANS SERVICES
Active
Organization
EAST NORRITON PHYSICIANS SERVICES
Active
Other names
Mercy Internal Medicine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER B KENNIFF (CFO)
(610) 567-6967
Entity
Organization
Contact information
Practice address
2705 DEKALB PIKE, SUITE 309, NORRISTOWN, PA 19401-1852
(610) 275-0200
(610) 275-4436
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
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007594660058
—
PA
01
—
1544454
HIGHMARK BLUE SHIELD
PA
01
—
2228688000
KEYSTONE HEALTH PLAN EAST
PA
01
—
2228688001
KEYSTONE HEALTH PLAN EAST
PA
01
—
30007454
KEYSTONE MERCY
PA
01
—
3248775
AUSHC HMO
PA
01
—
6294024001
CIGNA
PA
Enumeration date
08/15/2005
Last updated
03/11/2008
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