=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730122789
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ABINGTON MEMORIAL HOSPITAL
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/14/2006
-----------------------------------------------------
Last Update Date | 10/10/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1200 OLD YORK RD 1W
-----------------------------------------------------
City | ABINGTON
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19001-3720
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-481-2400
-----------------------------------------------------
Fax | 215-481-7438
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 826594
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19182-6594
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-481-2400
-----------------------------------------------------
Fax | 215-481-7438
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATIVE MANAGER
-----------------------------------------------------
Name | MS. MIRIAM LERNER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 215-481-2400
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RH0003X
-----------------------------------------------------
Taxonomy Name | Hematology & Oncology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------