Individual
DR. EDWARD ANTHONY MERCOGLIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
181 FRANKLIN AVE, SUITE 305, NUTLEY, NJ 07110-3820
(973) 284-0370
(973) 667-8547
Mailing address
181 FRANKLIN AVE, SUITE 305, NUTLEY, NJ 07110-3820
(973) 284-0370
(973) 667-8547
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA02603700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000026294
LOCAL 825
NJ
01
—
208060800
US DEPT OF LABOR
NJ
05
—
2839300
—
NJ
Enumeration date
09/11/2006
Last updated
07/08/2007
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