Provider Demographics
NPI:1912952805
Name:ABINGTON MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:ABINGTON MEMORIAL HOSPITAL
Other - Org Name:HORSHAM MEDICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR VP FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-481-3918
Mailing Address - Street 1:701 LIMEKILN PIKE
Mailing Address - Street 2:SUITES 3 & 4
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-2807
Mailing Address - Country:US
Mailing Address - Phone:215-646-0642
Mailing Address - Fax:215-646-1207
Practice Address - Street 1:701 LIMEKILN PIKE
Practice Address - Street 2:SUITES 3 & 4
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-2807
Practice Address - Country:US
Practice Address - Phone:215-646-0642
Practice Address - Fax:215-646-1207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA901239Medicare PIN