Healthcare Provider Details

I. General information

NPI: 1962350744
Provider Name (Legal Business Name): ABINGTON MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 OLD YORK RD STE G20
ABINGTON PA
19001-3839
US

IV. Provider business mailing address

1235 OLD YORK RD STE G20
ABINGTON PA
19001-3839
US

V. Phone/Fax

Practice location:
  • Phone: 215-517-1250
  • Fax: 215-517-0821
Mailing address:
  • Phone: 215-517-1250
  • Fax: 215-517-0821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. RACHEL RENAE DANTIS
Title or Position: ENTERPRISE NON-DELEGATED ENROLLMENT
Credential:
Phone: 609-238-7660