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	:	1912952805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABINGTON MEMORIAL HOSPITAL

Provider Business Mailing Address
First Line	:	701 LIMEKILN PIKE
Second Line	:	SUITES 3 & 4
City	:	AMBLER
State	:	PA
Zip	:	19002-2807
Country	:	US
Telephone Number	:	215-646-0642
Fax Number	:	215-646-1207

Provider Business Practice Location Address
First Line	:	701 LIMEKILN PIKE
Second Line	:	SUITES 3 & 4
City	:	AMBLER
State	:	PA
Zip	:	19002-2807
Country	:	US
Telephone Number	:	215-646-0642
Fax Number	:	215-646-1207

Authorized Official
Title or Position	:	SENIOR VP FINANCE
Name	:	MICHAEL B WALSH
Credential	:
Telephone Number	:	215-481-3918

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	02/26/2016

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