Healthcare Provider Details

I. General information

NPI: 1619075074
Provider Name (Legal Business Name): MERCER OBGYN PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

638 LAWRENCE RD
LAWRENCEVILLE NJ
08648
US

IV. Provider business mailing address

638 LAWRENCE ROAD
LAWRENCEVILLE NJ
08648
US

V. Phone/Fax

Practice location:
  • Phone: 609-883-8200
  • Fax: 609-530-1881
Mailing address:
  • Phone: 609-883-8200
  • Fax: 609-530-1881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMA43760
License Number StateNJ

VIII. Authorized Official

Name: MRS. ROOPALI BHATTACHARJEE
Title or Position: MD OBGYN SPECIALIST
Credential: MD
Phone: 609-883-8250