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Individual

DR. ANTHONY THOMAS MERCURI JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1416 MONROE AVE, SUITE # 205, DUNMORE, PA 18509-2477
(570) 344-8686
(570) 344-2841
Mailing address
PO BOX 186, DUNMORE, PA 18512-0186
(570) 344-8686
(570) 344-2841

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001586L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0828220001
RRMC DUR MED EQUIP
05
1539221
PA
01
801213
FIRST PRIORITY HEALTH
PA
Enumeration date
07/28/2006
Last updated
07/31/2012
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