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Organization

MERCY MANAGEMENT OF SEPA

Active
Other names
Mercy Specialty Assocates
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DOUGLAS C SMITH (V P FINANICAL SERVICES)
(610) 567-6964
Entity
Organization

Contact information

Practice address
501 S 54TH ST, PHILADELPHIA, PA 19143-1900
(215) 748-3100
(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
207RX0202X
Medical Oncology Physician
Primary
MD015294E
PA

Other

Enumeration date
11/02/2005
Last updated
08/22/2020
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