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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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