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Organization
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANI
Active
Organization
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANI
Active
Other names
MMSEPA P PCP Chestnut Office
Organization subpart
No
Provider details
NPI number
Authorized official
BETH HOPKINS (DIRECTOR BILLING)
(610) 567-5239
Entity
Organization
Contact information
Practice address
5630 CHESTNUT ST, PHILADELPHIA, PA 19139
(215) 748-3100
Mailing address
1 W ELM ST, CONSHOHOCKEN, PA 19428-4108
(610) 567-6964
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
PA
207Q00000X
Family Medicine Physician
Primary
—
PA
Other
Enumeration date
08/03/2017
Last updated
06/28/2018
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