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Organization

MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA

Active
Other names
MMS Mercy Radiation Oncology
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DOUGLAS C SMITH (VP FINANCIAL SERVICES)
(610) 567-6601
Entity
Organization

Contact information

Practice address
501 S 54TH ST, PHILADELPHIA, PA 19143-1900
(215) 748-9618
(610) 567-6955
Mailing address
1 WEST ELM STREET, CONSHOHOCKEN, PA 19428-1900
(610) 567-6964
(610) 567-6170

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Enumeration date
05/16/2008
Last updated
05/21/2008
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