| Abington Memorial Hospital | |
|
721 Arbor Way Suite 101 Blue Bell PA 19422-1917 | |
| (610) 279-7443 | |
| (610) 279-3784 |
| Full Name | Abington Memorial Hospital |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 721 Arbor Way, Blue Bell, Pennsylvania |
| Authorized Official Name and Position | Michael B Walsh (SENIOR VP FINANCE) |
| Authorized Official Contact | 2154812850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abington Memorial Hospital Po Box 826594 Philadelphia PA 19182-6594 Ph: (610) 279-7443 | Abington Memorial Hospital 721 Arbor Way Suite 101 Blue Bell PA 19422-1917 Ph: (610) 279-7443 |
| NPI Number | 1588604003 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 10/12/2022 |
| Certification Date | 10/12/2022 |
| Medicare PECOS PAC ID | 3274437736 |
|---|---|
| Medicare Enrollment ID | O20060915000403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588604003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Malcolm Lennox Mcharg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689614042 PECOS PAC ID: 9931107216 Enrollment ID: I20061121000134 |
| Provider Name | Vidhu Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760423792 PECOS PAC ID: 5698773976 Enrollment ID: I20061121000190 |
| Provider Name | Laurance D Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225079213 PECOS PAC ID: 6204834591 Enrollment ID: I20061121000230 |
| Provider Name | George Harman Dooneief |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215976139 PECOS PAC ID: 7113925413 Enrollment ID: I20061121000335 |
| Provider Name | Edward J Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902842784 PECOS PAC ID: 2264431824 Enrollment ID: I20061207000383 |
| Provider Name | Igor Porotov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306945613 PECOS PAC ID: 2961578570 Enrollment ID: I20080905000269 |
| Provider Name | Ellen Bock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316266729 PECOS PAC ID: 1658657911 Enrollment ID: I20170421000285 |
| Provider Name | Melissa Mausolf |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669817045 PECOS PAC ID: 2365789773 Enrollment ID: I20211013000434 |
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