Organization
MERCY MANAGEMENT OF SEPA
Active
Other names
MMS Mercy Rheumatology Associate
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
1 W ELM ST, SUITE 100, CONSHOHOCKEN, PA 19428-4108
(610) 567-6964
(610) 567-6170
Mailing address
501 S 54TH ST, SUITE 126, PHILADELPHIA, PA 19143-1900
(215) 748-9872
(215) 748-9869
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD432973
PA
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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