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Organization
MERCY MANAGEMENT OF SEPA
Active
Organization
MERCY MANAGEMENT OF SEPA
Active
Other names
MMSEPA P PCP 52nd Office
Organization subpart
No
Provider details
NPI number
Authorized official
BETH HOPKINS (CREDENTIALING SUPERVISOR)
(610) 567-5239
Entity
Organization
Contact information
Practice address
1575 N 52ND ST STE 800, PHILADELPHIA, PA 19131
(215) 748-4700
(215) 473-1515
Mailing address
1 W ELM ST, CONSHOHOCKEN, PA 19428-4108
(610) 567-6964
(610) 567-5420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
PA
207Q00000X
Family Medicine Physician
Primary
—
PA
Other
Enumeration date
08/02/2017
Last updated
06/28/2018
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