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1598758401 NPI number — EAST NORRITON PHYSICIANS SERVICES

NPI Number: 1598758401
Health Care Provider/Practitioner: EAST NORRITON PHYSICIANS SERVICES

Information about “1598758401” NPI (EAST NORRITON PHYSICIANS SERVICES) exists in 1598758401 in HTML format HTML  |  1598758401 in plain Text format TXT  |  1598758401 in PDF (Portable Document Format) PDF  |  1598758401 in an XML format XML  formats.

NPI Number : 1598758401 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598758401",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EAST NORRITON PHYSICIANS SERVICES",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1 W ELM ST",
    "SecondLineMailingAddress": "SUITE 100",
    "MailingAddressCityName": "CONSHOHOCKEN",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19428-2007",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-567-6967",
    "MailingAddressFaxNumber": "610-567-6170",
    "FirstLinePracticeLocationAddress": "1031 S BROAD ST",
    "SecondLinePracticeLocationAddress": "BLDG E",
    "PracticeLocationAddressCityName": "LANSDALE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19446-5338",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "215-542-9700",
    "PracticeLocationAddressFaxNumber": "215-362-7024",
    "EnumerationDate": "08/25/2005",
    "LastUpdateDate": "07/09/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KENNIFF",
    "AuthorizedOfficialFirstName": "PETER",
    "AuthorizedOfficialMiddleName": "B",
    "AuthorizedOfficialTitle": "CFO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "610-567-6967",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "208600000X",
          "TaxonomyName": "Surgery Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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