Healthcare Provider Details

I. General information

NPI: 1740449297
Provider Name (Legal Business Name): STEPHEN EDWARD MERCER MD PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2008
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 LOWER STATE RD BLDG 200
DOYLESTOWN PA
18901-2622
US

IV. Provider business mailing address

PO BOX 23329
NEW YORK NY
10087-3329
US

V. Phone/Fax

Practice location:
  • Phone: 215-345-6647
  • Fax: 215-345-0460
Mailing address:
  • Phone: 410-873-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License NumberMD464757
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberMD464757
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number256277
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number25MA08943200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: