Organization

Mercy Management Of Sepa

May also be knows as Mmsepa P Pcp Mac Op Mhop

Internal Medicine Physician in Philadelphia, PA(View on Map)

Legal Business Name

Mercy Management Of Sepa

Also Known As

Mmsepa P Pcp Mac Op Mhop

NPI Number

1518481225

NPI Type

Organization

Enumeration Date

08/03/2017

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

1 W ELM ST
501 S 54TH ST

City

Conshohocken
Philadelphia

State

PA
PA

Postal Code

19428-4108
19143-1900

Country

US
US

Telephone Number

(610) 567-6964
(215) 748-9204

Authorized Official

Name

Amiee Brennan

Title or Position

CREDENTIALING SUPERVISOR

Telephone Number

(610) 567-6964

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/03/2017

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