Organization
MERCY LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS HILKER (DIRECTOR OF REGIONAL PRACTICE)
(610) 567-5529
Entity
Organization
Contact information
Practice address
1930 S BROAD ST, UNIT 3, PHILADELPHIA, PA 19145-2328
(215) 339-4563
Mailing address
1 W ELM ST, CONSHOHOCKEN, PA 19428-4108
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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