Mercy Management of Southeastern Pennsylvania

NPI #1710403191 in Darby, Pennsylvania

Provider Information

NPI Number: 1710403191
Entity Type: Organization
Organization Name: Mercy Management of Southeastern Pennsylvania
Primary Specialty: Urology
Enumeration Date: Aug 17, 2017
Last Updated: May 1, 2023

Practice Location

Address: 1501 LANSDOWNE AVE FL MOB1
City: Darby
State: Pennsylvania
ZIP Code: 19023-1333
Phone: (610) 237-4104

Authorized Official

Name: AMIT POWAR
Title: PRESIDENT, MEDICAL GROUP
Phone: (215) 710-6573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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