Organization
EAST NORRITON PHYSICIANS SERVICES
Active
Other names
ENPS-CRNP
Organization subpart
No
Provider details
NPI number
Authorized official
PETER B KENNIFF (CHIEF FINANCIAL OFFICER)
(610) 567-6967
Entity
Organization
Contact information
Practice address
3301 RIDGE PIKE, EAGLEVILLE, PA 19403-1411
(610) 539-9100
(610) 539-6570
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
163WC1500X
Community Health Registered Nurse
Primary
TP005643C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001728686
BS NUMBER
PA
Enumeration date
08/11/2006
Last updated
06/13/2008
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