Healthcare Provider Details

I. General information

NPI: 1861742900
Provider Name (Legal Business Name): ABINGTON MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2012
Last Update Date: 10/12/2022
Certification Date: 10/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2510 MARYLAND RD SUITE 185
WILLOW GROVE PA
19090-1109
US

IV. Provider business mailing address

PO BOX 826594
PHILADELPHIA PA
19182-6594
US

V. Phone/Fax

Practice location:
  • Phone: 215-481-4323
  • Fax:
Mailing address:
  • Phone: 215-481-4323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL B WALSH
Title or Position: SENIOR VICE PRESIDENT OF FINANCE
Credential:
Phone: 215-481-2000