Mercy Fitzgerald Surgical Associates

LBN: Mercy Management Of Southeastern Pennsylvania
Mercy Fitzgerald Surgical Associates is an health care organization with primary practice located at 1501 Lansdowne Ave Suite 305, Darby PA 19023-1333. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Mercy Management Of Southeastern Pennsylvania can be contacted via phone (610) 534-6170, or through Smith, Douglas C via phone (610) 567-6964.

Contact Information

Primary practice address
1501 Lansdowne Ave Suite 305 Darby PA 19023-1333
Phone: (610) 534-6170
Fax: (610) 534-6159
Website:
Map and Directions
Authorized official contact:
Name: Smith, Douglas C
Phone: (610) 567-6964

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1194707380
LBN Legal business name Mercy Management Of Southeastern Pennsylvania
DBA Doing business as Mercy Fitzgerald Surgical Associates
Authorized official Smith, Douglas C
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2005
Last updated Nov 5th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194707380 NPPES
Pennsylvania Other 3955657 AETNA
Pennsylvania Other 2414129000 AETNA
Pennsylvania Other 5746424 AETNA
Pennsylvania MEDICAID 1007787930153 AETNA
Pennsylvania Other 30023892 AETNA
Pennsylvania Other 1738463 AETNA
Pennsylvania Other DA5351 AETNA

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