Healthcare Provider Details

I. General information

NPI: 1144536699
Provider Name (Legal Business Name): MIHAELA CUPESI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2010
Last Update Date: 08/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 LANSDOWNE AVE MERCY CATHOLIC MEDICAL CENTER MS 40
DARBY PA
19023-1200
US

IV. Provider business mailing address

1500 LANSDOWNE AVE MERCY CATHOLIC MEDICAL CENTER MS 40
DARBY PA
19023-1200
US

V. Phone/Fax

Practice location:
  • Phone: 610-237-4000
  • Fax:
Mailing address:
  • Phone: 610-237-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMT196248
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: