Mercy Medical Associates Of Conshohocken

LBN: East Norriton Physicians Services
Mercy Medical Associates Of Conshohocken is an health care organization with primary practice located at 500 Fayette St Suite 101, Conshohocken PA 19428-1795. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. East Norriton Physicians Services can be contacted via phone (610) 825-3464, or through Kenniff, Peter B via phone (610) 567-6967.

Contact Information

Primary practice address
500 Fayette St Suite 101 Conshohocken PA 19428-1795
Fax: (610) 940-4466
Website:
Authorized official contact:
Name: Kenniff, Peter B

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1518958677
LBN Legal business name East Norriton Physicians Services
DBA Doing business as Mercy Medical Associates Of Conshohocken
Authorized official Kenniff, Peter B
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2005
Last updated Mar 11th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518958677 NPPES
Pennsylvania MEDICAID 1007594660060
Pennsylvania Other 2281133001
Pennsylvania Other 30012557
Pennsylvania Other ME1599309
Pennsylvania Other 5406
Pennsylvania Other 5770514

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