NPI 1043233000

Mercy Management of Sepa

Organisation Registered Dietitian Philadelphia, PA

Practice location

Address: 501 S 54th St, Philadelphia, PA 19143-1900
Phone: (215) 748-9872
Fax: (215) 748-9869
Mailing address: 1 W Elm St 2nd Floor, Conshohocken, PA 19428-2007

Authorised official

Name: Douglas C Smith
Title: Credentialing Specialist
Phone: (610) 567-6964

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence DN003282 (PA)

Other Dietitian, Registered providers in Pennsylvania →

Registry record

NPI: 1043233000
Entity type: Organization
NPI issued: 25 Jul 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.