Organization · Type 2 NPI

Mercy Management of Southeastern Pennsylvania

Hematology & Oncology Physician · Philadelphia, PA

NPI number 1235116047 Active

Practice location

501 S 54th St, Suite 186
Philadelphia, PA 19143-1900

Fax (215) 748-9119

Mailing address

1 W Elm St, 2nd Floor
Conshohocken, PA 19428-2007

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1235116047

Mercy Management of Southeastern Pennsylvania's National Provider Identifier is 1235116047, issued on Dec 22, 2005. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Philadelphia, PA. The record was last updated on May 25, 2010.