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Mercy Management Of Sepa

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Philadelphia, PA. Organization (NPI-2).

NPI number1982128690
StatusActive
Last updated in NPPESMar 17, 2018

Details

NPI
1982128690
Entity type
Organization (NPI-2)
Legal business name
Mercy Management Of Sepa
Organization subpart
No
Enumeration date
Aug 3, 2017
Last updated
Mar 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)––Yes
207RC0000X Internal Medicine, Cardiovascular Disease––
207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology––
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism––
207RG0100X Internal Medicine, Gastroenterology––
207RH0003X Internal Medicine, Hematology & Oncology––
207RI0011X Internal Medicine, Interventional Cardiology––
207RX0202X Internal Medicine, Medical Oncology––
207T00000X Neurological Surgery––
207VG0400X Obstetrics & Gynecology, Gynecology––
207X00000X Orthopaedic Surgery––
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology––
2085R0001X ––
208600000X Surgery––

Other names

  • Sepa Multi - Specialty Group (Doing Business As)

Practice location

501 S 54th St Ste 186
Philadelphia, PA 19143-1900

Phone 215-748-9530 · Fax 215-748-9199

Mailing address

1 W Elm St
Conshohocken, PA 19428-4108

Phone 610-567-6964 · Fax 610-567-5420

Other practice locations

1500 Lansdowne Ave Bldg G103
Darby, PA 19023-1200

Phone 610-237-7950 · Fax 610-237-7955

1503 Lansdowne Ave Ste 1001
Darby, PA 19023-1330

Phone 610-237-2770 · Fax 610-237-2771

925 Providence Rd Ste 9
Secane, PA 19018-2900

Phone 610-237-2770 · Fax 610-237-2771

501 S 54th St Ste 28
Philadelphia, PA 19143-1900

Phone 215-748-9822 · Fax 215-748-9717

501 S 54th St Ste 226
Philadelphia, PA 19143-1900

Phone 610-534-6170 · Fax 610-534-6159

501 S 54th St Ste 128
Philadelphia, PA 19143-1900

Phone 215-748-9872 · Fax 215-748-9535

1501 Lansdowne Ave Ste 210
Darby, PA 19023-1333

Phone 610-534-6142 · Fax 610-534-6139

925 Providence Rd Ste 8/9
Secane, PA 19018-2920

Phone 610-534-6128

501 S 54th St Ste 28
Phila, PA 19143-1900

Phone 610-534-6142 · Fax 610-534-6136

1503 Lansdowne Ave Ste 3003
Darby, PA 19023-1308

Phone 484-494-5344 · Fax 484-494-5414

Authorized official

Amiee Brennan
Credentialing Supervisor
6105676964

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