Individual
MS. MARY M MERKEL-CUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APN-C, CARN-AP
Contact information
Practice address
1903 GRANT AVE, WILLIAMSTOWN, NJ 08094-6139
(856) 629-0244
(856) 629-3760
Mailing address
1903 GRANT AVE, WILLIAMSTOWN, NJ 08094-6139
(856) 629-0244
(856) 629-3760
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO10889700
NJ
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
13138
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00067800
NJ
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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