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Contact Information

MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
501 S 54TH ST
SUITE 126
PHILADELPHIA, PA19143-1900
 Phone: 215-748-9872
 Fax: 215-748-9869
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Neurology

2084N0400X 13 Physician/Neurology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA · (Female)

NPI Number 1548246127
Status Active
Credentials
Entity Individual
Enumeration date 12/16/2005
Last updated 08/08/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA Medicaid 1007787930162
  • PA Other 1217362 AUSHC HMO
  • PA Other 7479774 AUSHC PPO
  • PA Other 1761038 BLUE SHIELD
  • PA Other 36430 HEALTHPARTNERS
  • PA Other 2426698000 KEYSTONE HEALTH PLAN EAST
  • PA Other 30031042 KEYSTONE MERCY HEALTH PLA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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