| Audubon Family Medicine | |
|
3301 Ridge Pike Eagleville PA 19403-1411 | |
| (610) 539-9100 | |
| (610) 539-6570 |
| Full Name | Audubon Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 3301 Ridge Pike, Eagleville, Pennsylvania |
| Authorized Official Name and Position | Peter B Kenniff (CFO) |
| Authorized Official Contact | 6105676967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Audubon Family Medicine 1 W Elm St Suite 100 Conshohocken PA 19428-2007 Ph: (610) 567-6967 | Audubon Family Medicine 3301 Ridge Pike Eagleville PA 19403-1411 Ph: (610) 539-9100 |
| NPI Number | 1922091057 |
|---|---|
| Provider Enumeration Date | 08/24/2005 |
| Last Update Date | 03/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922091057 | NPI | - | NPPES |
| 1026860 | Other | PA | KMHP |
| 001 | Other | PA | TRICARE |
| 0410118001 | Other | PA | KHPE |
| 4646217 | Other | PA | AUSHC PPO |
| 482 | Other | PA | AUSHC OFFICE NUMBER |
| 586245 | Other | PA | HIGHMARK BLUE SHIELD |
| 1007594660054 | Medicaid | PA | |
| 0019374 | Other | PA | AUSHC HMO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Eagleville Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Eagleville Rd, Eagleville, PA 19403 Phone: 610-539-6000 |