Organization
SALVATORE DIMERCURIO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALVATORE DIMERCURIO MD (PRESIDENT)
(301) 714-4460
Entity
Organization
Contact information
Practice address
11110 MEDICAL CAMPUS RD, SUITE 241, HAGERSTOWN, MD 21742-6700
(301) 714-4460
(301) 714-4461
Mailing address
11110 MEDICAL CAMPUS RD, SUITE 241, HAGERSTOWN, MD 21742-6700
(301) 714-4460
(301) 714-4461
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
647731300
—
MD
Enumeration date
11/01/2007
Last updated
01/23/2017
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