Healthcare Provider Details

I. General information

NPI: 1891724795
Provider Name (Legal Business Name): ABINGTON MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 01/30/2024
Certification Date: 01/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1245 HIGHLAND AVE STE 301
ABINGTON PA
19001-3724
US

IV. Provider business mailing address

PO BOX 826594
PHILADELPHIA PA
19182-6594
US

V. Phone/Fax

Practice location:
  • Phone: 215-481-3133
  • Fax: 215-481-5435
Mailing address:
  • Phone: 215-481-5450
  • Fax: 215-481-5435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL WALSH
Title or Position: VICE-PRESIDENT
Credential:
Phone: 215-481-2850