Healthcare Provider Details

I. General information

NPI: 1508340134
Provider Name (Legal Business Name): ABINGTON MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2018
Last Update Date: 09/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 N BETHLEHEM PIKE
LOWER GWYNEDD PA
19002-2501
US

IV. Provider business mailing address

2500 MARYLAND RD STE 400
WILLOW GROVE PA
19090-1225
US

V. Phone/Fax

Practice location:
  • Phone: 215-540-4411
  • Fax: 215-540-4415
Mailing address:
  • Phone: 215-481-3900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL B WALSH
Title or Position: CFO, SENIOR VP FINANCE
Credential:
Phone: 215-481-2851