Mercy Management of Sepa

NPI #1043233000 in Philadelphia, Pennsylvania

Provider Information

NPI Number
1043233000
Entity Type
Organization
Organization Name
Mercy Management of Sepa
Primary Specialty
Dietitian, Registered
Enumeration Date
Jul 25, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
501 S 54TH ST
ZIP Code
19143-1900
Phone
(215) 748-9872

Authorized Official

Name
MR. DOUGLAS C SMITH
Title
CREDENTIALING SPECIALIST
Phone
(610) 567-6964

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