institution
Mercy Management Of Southeastern Pennsylvania
General Practice Physician in Philadelphia, Pennsylvania
NPI 1396721494

Mercy Management Of Southeastern Pennsylvania is a General Practice Physician based in Conshohocken, PA. Mercy Management Of Southeastern Pennsylvania practices in Philadelphia, PA. The NPI Number for Mercy Management Of Southeastern Pennsylvania is 1396721494 and holds a License No. (Pennsylvania).

The current practice location address for Mercy Management Of Southeastern Pennsylvania is 501 S 54Th St, Philadelphia, PA and can be reached out via phone at 215-748-9707 and via fax at 215-748-9708. You can also correspond with Mercy Management Of Southeastern Pennsylvania through the mailing address at 1 W ELM ST, CONSHOHOCKEN, PA - 19428-2007 (mailing address contact number: 610-567-6964).

Location: 501 S 54Th St, Philadelphia, PA, 19428-2007
institution
Provider Profile Details
NPI Number
1396721494
Provider Name
Mercy Management Of Southeastern Pennsylvania
Credential
Provider Entity Type
Organization
Address
501 S 54Th St, Philadelphia, PA, 19428-2007
Phone Number
215-748-9707
Fax Number
215-748-9708
Provider Enumeration Date
12/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100778793 0157 05 PA
1543646 01 PA BLUE SHIELD COMP
1543646 01 PA BLUE SHIELD PA PR
1543648 01 PA AMERIHEALTH ADMIN
2228313000 01 PA AMERIHEALTH DELAWARE
2228313000 01 PA BLUE SHIELD LLIN
33695 01 PA HEALTH PARTNERS SENIOR
1543646 01 PA BLUE SHIELD
2228313000 01 PA KEYSTONE 65 SPECIAL
2507496 01 PA AETNA MEDICARE HMO
2228313000 01 PA AMERIHEALTH HMO
2228313000 01 PA AMERIHEALTH NEW JERSEY
2228313000 01 PA KEYSTONE HEALTH PLAN
33695 01 PA HEALTH PARTNERS
125183600 01 PA DEPT OF LABOR
2507496 01 PA AETNA HMO SPECIALIST
1543646 01 PA BLUE SHIELD PA 65
7770198 01 PA AETNA OTHER
G000668600 01 PA AMERICHOICE
institution
Provider Business Practice Location Address Details
Address
501 S 54Th St
City
State
Zip
19143-1900
Phone Number
215-748-9707
Fax Number
215-748-9708
person
Provider Business Mailing Address Details
Address
1 W Elm St
City
State
Zip
19428-2007
Phone Number
610-567-6964
Fax Number
610-567-6170
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
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Definition
Definition to come...
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