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Mercury Podiatry, Inc
Prosthetic/Orthotic Supplier in Brookhaven, Pennsylvania
NPI 1396758033

Mercury Podiatry, Inc is a Prosthetic/Orthotic Supplier based in Brookhaven, PA. Mercury Podiatry, Inc practices in Brookhaven, PA. The NPI Number for Mercury Podiatry, Inc is 1396758033 and holds a License No. SC001693L (Pennsylvania).

The current practice location address for Mercury Podiatry, Inc is 4201 Edgmont Ave, Brookhaven, PA and can be reached out via phone at 610-874-8431 and via fax at 610-874-8288.

Location: 4201 Edgmont Ave, Brookhaven, PA, 19015-2315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396758033
Provider Name
Mercury Podiatry, Inc
Credential
Provider Entity Type
Organization
Address
4201 Edgmont Ave, Brookhaven, PA, 19015-2315
Phone Number
610-874-8431
Fax Number
610-874-8288
Provider Enumeration Date
08/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21283 01 PA HEALTHPARTNERS
00005014350002 05 PA
J88440 01 PA AMERIHEALTH OF PA
088440 01 PA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4201 Edgmont Ave
City
Brookhaven
State
Pennsylvania
Zip
19015-2315
Phone Number
610-874-8431
Fax Number
610-874-8288
person
Provider Business Mailing Address Details
Address
4201 Edgmont Ave
City
Brookhaven
State
Pennsylvania
Zip
19015-2315
Phone Number
610-874-8431
Fax Number
610-874-8288
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
SC001693L (Pennsylvania)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
SC001693L (Pennsylvania)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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