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Organization
RICHARD A. MERCURIO MD, INC
Active
Organization
RICHARD A. MERCURIO MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A MERCURIO MD (OWNER)
(724) 543-1735
Entity
Organization
Contact information
Practice address
198 WESTGATE DRIVE, SUITE 101A, KITTANNING, PA 16201-8904
(724) 543-1735
Mailing address
198 WESTGATE DRIVE, SUITE 101A, KITTANNING, PA 16201-8904
(724) 543-1735
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD031126E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007822999 0002
—
PA
Enumeration date
04/17/2007
Last updated
08/20/2010
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