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Mercy Management Of Sepa

in Darby, PA. Organization (NPI-2).

NPI number1982120366
StatusActive
Last updated in NPPESMar 17, 2018

Details

NPI
1982120366
Entity type
Organization (NPI-2)
Legal business name
Mercy Management Of Sepa
Organization subpart
No
Enumeration date
Aug 17, 2017
Last updated
Mar 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0001X ––Yes

Other names

  • Mmsepa Radiation Oncology (Doing Business As)

Practice location

1500 Lansdowne Ave
Darby, PA 19023-1200

Phone 610-237-4370 · Fax 610-234-5051

Mailing address

1 W Elm St
Conshohocken, PA 19428-4108

Phone 610-567-6964

Other practice locations

501 S 54th St
Phila, PA 19143-1900

Phone 215-748-9360 · Fax 215-748-9633

Authorized official

Amiee Brennan
Credentialing Supervisor
6105676964

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