Organization
MERCY MANAGEMENT OF SEPA
Active
Other names
MMS-Mercy Gynecologic Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS C SMITH (VP FINANCIAL SERVICES)
(610) 567-6964
Entity
Organization
Contact information
Practice address
1503 LANSDOWNE AVE, 1ST FLOOR, DARBY, PA 19023-1330
(610) 567-6964
(610) 567-6170
Mailing address
1 W ELM ST, 2ND FLOOR, CONSHOHOCKEN, PA 19428-2007
(610) 567-6964
(610) 567-6170
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Enumeration date
12/20/2005
Last updated
08/04/2017
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