Organization
A T MERCURI DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY T MERCURI JR. D.P.M. (OWNER)
(570) 344-8686
Entity
Organization
Contact information
Practice address
1416 MONROE AVE, SUITE 205, DUNMORE, PA 18509-2477
(570) 344-8686
(570) 344-2841
Mailing address
1416 MONROE AVE, SUITE 205, DUNMORE, PA 18509-2477
(570) 344-8686
(570) 344-2841
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
SC001586L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015392210001
—
PA
01
—
801213
FIRST PRIORITY HEALTH
PA
Enumeration date
01/02/2008
Last updated
09/17/2012
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