MEDICARE: ST MARY MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	213ES0103X	Foot & Ankle Surgery Podiatrist
2	103T00000X	Psychologist
3	207V00000X	Obstetrics & Gynecology Physician
4	208000000X	Pediatrics Physician
5	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1083622286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST MARY MEDICAL CENTER

Provider Business Mailing Address
First Line	:	41 UNIVERSITY DR STE 300
Second Line	:
City	:	NEWTOWN
State	:	PA
Zip	:	18940-1873
Country	:	US
Telephone Number	:	734-343-2654
Fax Number	:

Provider Business Practice Location Address
First Line	:	3331 STREET RD STE 140
Second Line	:
City	:	BENSALEM
State	:	PA
Zip	:	19020-2052
Country	:	US
Telephone Number	:	215-245-8873
Fax Number	:	215-245-8895

Authorized Official
Title or Position	:	VP, FINANCE AND CFO
Name	:	JULIE KEESE
Credential	:
Telephone Number	:	301-754-7201

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	03/13/2026

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Directions to “ST MARY MEDICAL CENTER ” Practice Location

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