Organization
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
Active
Other names
Mercy Philadelphia Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS SMITH (VP FINANCIAL SERVICES)
(610) 567-6964
Entity
Organization
Contact information
Practice address
501 S 54TH ST, SUITE 227, PHILADELPHIA, PA 19143-1900
(215) 748-9344
(215) 748-9816
Mailing address
1 W ELM ST, 100, CONSHOHOCKEN, PA 19428-4108
(610) 567-6964
(610) 567-6170
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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