Healthcare Provider Details

I. General information

NPI: 1487028262
Provider Name (Legal Business Name): ABINGTON MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2015
Last Update Date: 10/12/2022
Certification Date: 10/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

686 DEKALB PIKE SUITE 201
BLUE BELL PA
19422-1258
US

IV. Provider business mailing address

PO BOX 826594
PHILADELPHIA PA
19182-6594
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number StatePA

VIII. Authorized Official

Name: MICHAEL B WALSH
Title or Position: SENIOR VP FINANCE
Credential:
Phone: 215-481-2850