Organization
PERSILA V. MERTZ, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERSILA V MERTZ M.D. (OWNER)
(717) 733-3600
Entity
Organization
Contact information
Practice address
115 E MAIN ST, EPHRATA, PA 17522-2710
(717) 733-3600
(717) 721-3038
Mailing address
115 E MAIN ST, EPHRATA, PA 17522-2710
(717) 733-3600
(717) 721-3038
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD043167E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093980
MEDICARE PROVIDER NUMBER
—
01
—
110758
MEDICARE LEGACY NUMBER
—
01
—
1942262019
INDIVIDUAL NPI
—
Enumeration date
04/24/2007
Last updated
07/03/2014
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