Organization
MERCY MANAGEMENT OF SEPA
Active
Other names
West Philadelphia Women First
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD E HALBERSTADT (VICE PRESIDENT/CFO)
(215) 748-9300
Entity
Organization
Contact information
Practice address
5346 CEDAR AVE, PHILADELPHIA, PA 19143-1918
(215) 747-6661
(215) 471-1418
Mailing address
5346 CEDAR AVE, PHILADELPHIA, PA 19143-1918
(215) 747-6661
(215) 471-1418
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007787930093
—
PA
Enumeration date
07/25/2006
Last updated
09/25/2007
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