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190 W Germantown Pike Suite 110 East Norriton PA 19401-1385 | |
(610) 272-0190 | |
(610) 272-4428 |
Full Name | |
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Speciality | Family Medicine |
Location | 190 W Germantown Pike, East Norriton, 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 |
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1 W Elm St Suite 100 Conshohocken PA 19428-4108 Ph: (610) 567-6967 | 190 W Germantown Pike Suite 110 East Norriton PA 19401-1385 Ph: (610) 272-0190 |
NPI Number | 1104096593 |
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Provider Enumeration Date | 03/03/2008 |
Last Update Date | 03/10/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104096593 | NPI | - | NPPES |
2025321 | Other | PA | HIGHMARK BLUE SHIELD |
3424972001 | Other | PA | IBC/KHPE |
1007594660066 | Medicaid | PA | |
30050608 | Other | PA | KEYSTONE MERCY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Jeffersonville Family And Geriatric Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 190 West Germantown Pike, Suite 155, East Norriton, PA 19401 Phone: 610-277-9040 Fax: 610-277-7890 | |
Creative Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 W Germantown Pike Ste 1, East Norriton, PA 19401 Phone: 484-687-2990 | |
Family Practice Of Jeffersonville, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 190 W Germantown Pike, Suite 155, East Norriton, PA 19401 Phone: 610-277-9040 Fax: 610-277-7890 |