MEDICARE: ABINGTON MEMORIAL HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1629022231
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABINGTON MEMORIAL HOSPITAL

Provider Business Mailing Address
First Line	:	115 E GLENSIDE AVE
Second Line	:	SUITE 7
City	:	GLENSIDE
State	:	PA
Zip	:	19038-4618
Country	:	US
Telephone Number	:	215-572-8944
Fax Number	:	215-572-5036

Provider Business Practice Location Address
First Line	:	115 E GLENSIDE AVE
Second Line	:	SUITE 7
City	:	GLENSIDE
State	:	PA
Zip	:	19038-4618
Country	:	US
Telephone Number	:	215-572-8944
Fax Number	:	215-572-5036

Authorized Official
Title or Position	:	SENIOR VP FINANCE
Name	:	MICHAEL B WALSH
Credential	:
Telephone Number	:	215-481-2850

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	02/26/2016

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Directions to “ABINGTON MEMORIAL HOSPITAL ” Practice Location

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