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Organization

ENPS MERCY PRIMARY CARE AT PLYMOUTH MEETING

Active
Parent organization
EAST NORRITON PHYSICIAN SERVICES
Other names
Mercy Primary Care at Plymouth Meeting
Organization subpart
Yes

Provider details

NPI number
Legal business name
EAST NORRITON PHYSICIAN SERVICES
Authorized official
ANA MUNIZ (CREDENTIALING SPECIALIST)
(610) 567-5265
Entity
Organization

Contact information

Practice address
500 W GERMANTOWN PIKE, SUITE 1020, PLYMOUTH MEETING, PA 19462-1353
(610) 941-4208
(610) 941-4158
Mailing address
1 W ELM ST, SUITE 100, CONSHOHOCKEN, PA 19428-4108
(610) 567-5265
(610) 567-6955

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
09/28/2012
Last updated
09/28/2012
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