Individual
KARL KENNETH MERCADO TOBIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 744-5888
Mailing address
912 MERRITT DR APT E, HILLSBOROUGH, NJ 08844-5316
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
26NR17935600
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
433115
NY
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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