Organization
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
Active
Other names
Mercy EKG Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS C SMITH (CFO)
(610) 567-4000
Entity
Organization
Contact information
Practice address
1500 LANSDOWNE AVE, DARBY, PA 19023-1200
(610) 567-6951
(610) 567-6170
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
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032555
AETNA HMO
PA
01
—
027074
HEALTH PARTNERS
PA
01
—
0496570000
KHPE
PA
05
—
1007787930100
—
PA
01
—
30006972
KMHP
PA
01
—
5382060
AETNA PPO
PA
01
—
664173
PABS
PA
Enumeration date
11/16/2005
Last updated
08/04/2010
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