Organization
EAST NORRITON PHYSICIANS SERVICES
Active
Other names
East Norriton Cardiology Group
Organization subpart
No
Provider details
NPI number
Authorized official
PETER B KENNIFF (CHIEF FINANCIAL OFFICER)
(610) 292-6522
Entity
Organization
Contact information
Practice address
2701 DEKALB PIKE, NORRISTOWN, PA 19401-1820
(610) 649-7625
(610) 649-5178
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
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009
TRICARE
PA
01
—
0117115000
IBC#
PA
05
—
100759466 0034
—
PA
01
—
2810
HEALTHPARTNERS
PA
01
—
48436
KMHP
PA
01
—
544079
HIGHMARK BLUE SHIELD
PA
01
—
8770193
AUSHC PPO
PA
01
—
99368
AUSHC HMO
PA
Enumeration date
07/10/2006
Last updated
03/11/2008
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