Organization
MERCY FITZGERALD CRNA SERVICES
Active
Parent organization
MERCY MANAGEMENT OF SEPA
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY MANAGEMENT OF SEPA
Authorized official
GINA R CAMERON (DELEGATED OFFICIAL)
(610) 567-5148
Entity
Organization
Contact information
Practice address
1500 LANSDOWNE AVE, DARBY, PA 19023-1200
(610) 237-4000
(856) 423-0823
Mailing address
PO BOX 827675, PHILADELPHIA, PA 19182-7675
(856) 423-7700
(856) 423-0823
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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