# MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MMS-Mercy Oncology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235116047
- **Authorized official:** MR. DOUGLAS C SMITH (VP FINANCIAL SERVICES)
- **Authorized official phone:** (610) 567-6964

## Contact information

- **Practice address:** 501 S 54TH ST, SUITE 186, PHILADELPHIA, PA 19143-1900
- **Practice address phone:** (215) 748-9530
- **Practice address fax:** (215) 748-9119
- **Mailing address:** 1 W ELM ST, 2ND FLOOR, CONSHOHOCKEN, PA 19428-2007
- **Mailing address phone:** (610) 567-6964
- **Mailing address fax:** (610) 567-6170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/22/2005
- **Last updated:** 05/25/2010