Organization · Type 2 NPI

Mercy Management of Southeastern Pennsylvania

Adult Reconstructive Orthopaedic Surgery Physician · Philadelphia, PA

NPI number 1891771994 Active

Practice location

501 S 54th St, Suite 28
Philadelphia, PA 19143-1900

Fax (215) 748-9717

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Adult Reconstructive Orthopaedic Surgery Physician Primary 207XS0114XMD047458 (PA)
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005XMD042497 (PA)

Adult Reconstructive Orthopaedic Surgery Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

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About NPI 1891771994

Mercy Management of Southeastern Pennsylvania's National Provider Identifier is 1891771994, issued on Dec 20, 2005. The primary taxonomy on file is Adult Reconstructive Orthopaedic Surgery Physician (207XS0114X), and the practice location is in Philadelphia, PA. The record was last updated on May 9, 2008.