Organization
MERCY PSYCHIATRY ASSOCIATES PC
Active
Organization
MERCY PSYCHIATRY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DEKRET M.D. (PRESIDENT)
(610) 524-1552
Entity
Organization
Contact information
Practice address
1503 LANSDOWNE AVE, SUITE 3005, DARBY, PA 19023-1330
(610) 524-1552
(610) 524-6039
Mailing address
1503 LANSDOWNE AVE, SUITE 3005, DARBY, PA 19023-1330
(610) 524-1552
(610) 524-6039
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012761760004
—
PA
01
—
0555445000
PERSONAL CHOICE
PA
01
—
CG9758
RAILROAD MEDICARE
PA
Enumeration date
07/29/2006
Last updated
08/22/2020
Update your record
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