Basic Information
| Provider Information | |||||||||
| NPI: | 1659003770 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ABINGTON MEMORIAL HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1101 MARKET ST FL 30 | ||||||||
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| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191072934 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6092387660 | ||||||||
| FaxNumber: | 8569229890 | ||||||||
| Practice Location | |||||||||
| Address1: | 1200 OLD YORK RD FL TOLL | ||||||||
| Address2: | |||||||||
| City: | ABINGTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190013720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2154814212 | ||||||||
| FaxNumber: | 2154812048 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/28/2022 | ||||||||
| LastUpdateDate: | 06/28/2022 | ||||||||
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| AuthorizedOfficialLastName: | KUMOR | ||||||||
| AuthorizedOfficialFirstName: | RONALD | ||||||||
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| AuthorizedOfficialTitleorPosition: | AO | ||||||||
| AuthorizedOfficialTelephone: | 2156124858 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 06/28/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367A00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.