# MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercy Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821532482
- **Authorized official:** MR. LANCE CASTLE (SR DIRECTOR OF PHYSICIAN BILLING)
- **Authorized official phone:** (610) 567-5520

## Contact information

- **Practice address:** 1503 LANSDOWNE AVE, STE 3003, DARBY, PA 19023-1330
- **Practice address phone:** (484) 494-6920
- **Practice address fax:** (484) 494-5414
- **Mailing address:** 1 W ELM ST, STE 100, CONSHOHOCKEN, PA 19428-4108
- **Mailing address phone:** (610) 567-6964
- **Mailing address fax:** (610) 567-5420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2016
- **Last updated:** 12/15/2016