Healthcare Provider Details

I. General information

NPI: 1144246752
Provider Name (Legal Business Name): ABINGTON PULMONARY & CRITICAL CARE ASSOCIATES, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 11/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 OLD YORK RD STE 121
ABINGTON PA
19001
US

IV. Provider business mailing address

1235 OLD YORK RD STE 121
ABINGTON PA
19001
US

V. Phone/Fax

Practice location:
  • Phone: 215-517-1200
  • Fax: 215-517-1219
Mailing address:
  • Phone: 215-517-1200
  • Fax: 215-517-1219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License NumberMD16830E
License Number StatePA

VIII. Authorized Official

Name: HENRY S MISHEL
Title or Position: PRESIDENT
Credential: MD
Phone: 215-517-1200