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NPI Code Detail

MEDICARE: DR. DONNA M. MERCADO MD

MEDICARE: DR. DONNA M. MERCADO MD
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
1207P00000XEmergency Medicine Physician25MA03724000NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780682369
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONNA M. MERCADO MD
Provider Business Mailing Address
First Line : 35 W 36TH ST
Second Line :
City : BAYONNE
State : NJ
Zip : 07002-2902
Country : US
Telephone Number : 201-339-2992
Fax Number :
Provider Business Practice Location Address
First Line : 308 WILLOW AVE
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-3808
Country : US
Telephone Number : 201-418-2065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 05/15/2008

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