| Mercy Management Of Sepa | |
|
501 S 54th St Philadelphia PA 19143-1900 | |
| (215) 748-9872 | |
| (214) 748-9869 |
| Full Name | Mercy Management Of Sepa |
|---|---|
| Speciality | Internal Medicine |
| Location | 501 S 54th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Don Halberstadt (CFO) |
| Authorized Official Contact | 6105676964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Management Of Sepa 1 W Elm St 2nd Floor Conshohocken PA 19428-2007 Ph: (610) 567-6964 | Mercy Management Of Sepa 501 S 54th St Philadelphia PA 19143-1900 Ph: (215) 748-9872 |
| NPI Number | 1417946633 |
|---|---|
| Provider Enumeration Date | 10/20/2005 |
| Last Update Date | 03/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417946633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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