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
- City
- Philadelphia
- State
- Pennsylvania
- 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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