| Abington Cedarbrook Internal Medicine | |
|
1811 Bethlehem Pike Suite A108 Flourtown PA 19031-1111 | |
| (215) 884-0959 | |
| (215) 884-9533 |
| Full Name | Abington Cedarbrook Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1811 Bethlehem Pike, Flourtown, 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 Cedarbrook Internal Medicine Po Box 826594 Philadelphia PA 19182-6594 Ph: (215) 884-0959 | Abington Cedarbrook Internal Medicine 1811 Bethlehem Pike Suite A108 Flourtown PA 19031-1111 Ph: (215) 884-0959 |
| NPI Number | 1831143650 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 10/10/2022 |
| Medicare PECOS PAC ID | 3274437736 |
|---|---|
| Medicare Enrollment ID | O20040114000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831143650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Larry S Keller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528064094 PECOS PAC ID: 7517868037 Enrollment ID: I20040117000079 |
| Provider Name | Audrey D Scanlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043721616 PECOS PAC ID: 9436418951 Enrollment ID: I20180109000452 |
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