MEDICARE: MERAKEY PHILADELPHIA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1528262409
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERAKEY PHILADELPHIA

Provider Business Mailing Address
First Line	:	620 GERMANTOWN PIKE
Second Line	:
City	:	LAFAYETTE HILL
State	:	PA
Zip	:	19444-1810
Country	:	US
Telephone Number	:	215-836-3131
Fax Number	:	215-273-5975

Provider Business Practice Location Address
First Line	:	237 W SCHOOL HOUSE LN
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19144-3845
Country	:	US
Telephone Number	:	215-836-3131
Fax Number	:	215-836-2609

Authorized Official
Title or Position	:	CORP SR. DIRECTOR OF BUSINESS OPS
Name	:	MR. NORMAN E TILSON JR.
Credential	:
Telephone Number	:	215-836-3131

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	01/26/2024

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Directions to “MERAKEY PHILADELPHIA ” Practice Location

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