Individual
MERCEDES FALLON BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
30 KNIGHTSBRIDGE RD STE 625-626, PISCATAWAY, NJ 08854-3948
(732) 235-5000
Mailing address
671 HOES LN W, PISCATAWAY, NJ 08854-8021
(732) 235-3289
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06987600
NJ
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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