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Organization
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANI
Active
Organization
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANI
Active
Parent organization
MERCY ACCOUNTABLE CARE, LLC
Other names
Mercy Senior Health - West Philadelphia
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY ACCOUNTABLE CARE, LLC
Authorized official
JOHN CARUSO (PRESIDENT)
(215) 710-2651
Entity
Organization
Contact information
Practice address
5901 MARKET ST, PHILADELPHIA, PA 19139-3117
(413) 262-6762
(610) 567-5495
Mailing address
41 UNIVERSITY DR STE 106, NEWTOWN, PA 18940-1873
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
04/22/2021
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