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NPI Code Detail

MEDICARE: VINCE GREG CHUY MERCADO NP

MEDICARE:   VINCE GREG CHUY MERCADO  NP
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
1363LF0000XFamily Nurse Practitioner000000000NJ

General Provider Information

NPI Number : 1710878616
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINCE GREG CHUY MERCADO NP
Provider Business Mailing Address
First Line : 201 DEFENSE HWY STE 260
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-7096
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3100 HINGSTON AVE STE 102
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-4409
Country : US
Telephone Number : 888-985-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2025
Last Update Date : 07/10/2025

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Directions to “ VINCE GREG CHUY MERCADO NP” Practice Location

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