Provider Demographics
NPI:1235563651
Name:MMS MERCY PHILADELPHIA HOSPITAL UROLOGY
Entity Type:Organization
Organization Name:MMS MERCY PHILADELPHIA HOSPITAL UROLOGY
Other - Org Name:MPH UROLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGIONAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HILKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-567-5529
Mailing Address - Street 1:501 S 54TH ST
Mailing Address - Street 2:SUITE 126
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19143-1900
Mailing Address - Country:US
Mailing Address - Phone:215-748-9872
Mailing Address - Fax:215-748-9869
Practice Address - Street 1:1 W ELM ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-4108
Practice Address - Country:US
Practice Address - Phone:610-567-6964
Practice Address - Fax:610-567-6955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-22
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty