Organization
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
Active
Other names
Mercy Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANCE CASTLE (SR DIRECTOR OF PHYSICIAN BILLING)
(610) 567-5520
Entity
Organization
Contact information
Practice address
1503 LANSDOWNE AVE, STE 3003, DARBY, PA 19023-1330
(484) 494-6920
(484) 494-5414
Mailing address
1 W ELM ST, STE 100, CONSHOHOCKEN, PA 19428-4108
(610) 567-6964
(610) 567-5420
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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