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NPI Code Detail

MEDICARE: ABIGAIL OSDANA MERCADO APN

MEDICARE: ABIGAIL OSDANA MERCADO APN
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
1363L00000XNurse Practitioner26NJ00737700NJ

General Provider Information

NPI Number : 1861929424
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL OSDANA MERCADO APN
Provider Business Mailing Address
First Line : 40 WASHINGTON AVE
Second Line :
City : DUMONT
State : NJ
Zip : 07628-3697
Country : US
Telephone Number : 201-387-7055
Fax Number :
Provider Business Practice Location Address
First Line : 40 WASHINGTON AVE
Second Line :
City : DUMONT
State : NJ
Zip : 07628-3697
Country : US
Telephone Number : 201-387-7055
Fax Number : 201-387-8605
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2017
Last Update Date : 08/02/2023

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Directions to “ ABIGAIL OSDANA MERCADO APN” Practice Location

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