Individual
GUSTAVO A MERCIER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
840 HARRISON AVE, BOSTON, MA 02118
(617) 638-6610
(617) 638-6616
Mailing address
801 ALBANY ST FL G, BOSTON, MA 02119-3791
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
230051
MA
207UN0901X
Nuclear Cardiology Physician
230051
MA
2085R0202X
Diagnostic Radiology Physician
Primary
230051
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110075061A
—
MA
Enumeration date
06/06/2006
Last updated
02/16/2022
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