Organization
ALEX M. MERCADO, M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX M MERCADO MD (MANAGING MEMBER)
(973) 584-0045
Entity
Organization
Contact information
Practice address
191 US HIGHWAY 206, FLANDERS, NJ 07836-9002
(973) 584-0045
(973) 584-0094
Mailing address
191 US HIGHWAY 206, FLANDERS, NJ 07836-9002
(973) 584-0045
(973) 584-0094
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA63545
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6961908
—
NJ
Enumeration date
07/15/2008
Last updated
07/15/2008
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