Organization
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
Active
Parent organization
MERCY PAIN MANAGEMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY PAIN MANAGEMENT
Authorized official
AMIEE BRENNAN (CREDENTIALING SUPERVISOR)
(610) 567-6964
Entity
Organization
Contact information
Practice address
1501 LANSDOWNE AVE, DARBY, PA 19023-1333
(610) 567-5387
Mailing address
1 W ELM ST STE 100, CONSHOHOCKEN, PA 19428-4108
16105675387
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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