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MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA NPI 1396322111


NPI Information

NPI: 1396322111
Provider Name: MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA

Other Name: ADVANCED WOUND CARE CENTER

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
1500 LANSDOWNE AVE
DARBY, PA
ZIP 19023
Phone: (610) 237-4000
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MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA is a surgery in Darby, PA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA NPI is 1396322111. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Advanced Wound Care Center.

The provider's business location address is:

1500 LANSDOWNE AVE
DARBY, PA
ZIP 19023-200
Phone: (610) 237-4000

The provider's authorized official is John Caruso .
The authorized official title is President and has the following contact phone number (215) 710-2651.

The enumeration date for this NPI number is 3/26/2021 and was last updated on 4/19/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryYes
2363L00000XNurse PractitionerNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100778793MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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