Healthcare Provider Details

I. General information

NPI: 1407844772
Provider Name (Legal Business Name): HEART GROUP OF ABINGTON LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 07/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 OLD YORK RD
ABINGTON PA
19001-3720
US

IV. Provider business mailing address

PO BOX 10848
LANCASTER PA
17605-0848
US

V. Phone/Fax

Practice location:
  • Phone: 215-481-2000
  • Fax: 215-376-1705
Mailing address:
  • Phone: 717-293-3223
  • Fax: 717-390-2455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT A WATSON III
Title or Position: PRESIDENT
Credential: M.D.
Phone: 215-481-2000