Organization · Type 2 NPI

Shannondell, Inc.

Geriatric Medicine (Internal Medicine) Physician · Audubon, PA

NPI number 1043927338 Active

Practice location

5000 Shannondell Dr
Audubon, PA 19403-5684

Specialties and licenses

Taxonomy	Code	License
Geriatric Medicine (Family Medicine) Physician	207QG0300X	None listed
Geriatric Medicine (Internal Medicine) Physician Primary	207RG0300X	None listed

Geriatric Medicine (Internal Medicine) Physician: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

5 other providers at this address

NPI record

NPI: 1043927338
Entity type: Organization (Type 2)
Issued: Nov 4, 2022
Last updated: Mar 10, 2023
Status: Active
Subpart: Yes of Shannondell, Inc.

Other names

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Shannondell Health · doing business as
Shannondell Health · doing business as

Authorized official

Mr. Daniel Freed
Vice President of Health Services
(610) 728-5400

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043927338

Shannondell, Inc.'s National Provider Identifier is 1043927338, issued on Nov 4, 2022. The primary taxonomy on file is Geriatric Medicine (Internal Medicine) Physician (207RG0300X), and the practice location is in Audubon, PA. The record was last updated on Mar 10, 2023.