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Organization
MERCY MANAGEMENT OF SEPA
Active
Organization
MERCY MANAGEMENT OF SEPA
Active
Other names
Mercy Health Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON HALBERSTADT (CFO)
(610) 567-6964
Entity
Organization
Contact information
Practice address
501 S 54TH ST, PHILADELPHIA, PA 19143-1900
(215) 748-9872
(214) 748-9869
Mailing address
1 W ELM ST, 2ND FLOOR, CONSHOHOCKEN, PA 19428-2007
(610) 567-6964
(610) 567-6170
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/20/2005
Last updated
03/11/2008
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