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NPI Code Detail

MEDICARE: DR. ALEX MERCADO DO

MEDICARE: DR. ALEX MERCADO DO
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 PhysicianOS021765PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OT018841OTHERPAOSTEOPATHIC MEDICINE BOARD

General Provider Information

NPI Number : 1841785524
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEX MERCADO DO
Provider Business Mailing Address
First Line : 100 PARAMOUNT BLVD
Second Line :
City : ORWIGSBURG
State : PA
Zip : 17961-2202
Country : US
Telephone Number : 272-639-1100
Fax Number :
Provider Business Practice Location Address
First Line : 100 PARAMOUNT BLVD
Second Line :
City : ORWIGSBURG
State : PA
Zip : 17961-2202
Country : US
Telephone Number : 272-639-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2018
Last Update Date : 11/11/2025

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