Organization
MERCEDES A. PAINE, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERCEDES A. PAINE M.D. (PRESIDENT)
(201) 487-4298
Entity
Organization
Contact information
Practice address
ONE UNIVERSITY PLAZA, SUITE 618, HACKENSACK, NJ 07601-6229
(201) 487-4298
(201) 487-6110
Mailing address
ONE UNIVERSITY PLAZA, SUITE 618, HACKENSACK, NJ 07601-6229
(201) 487-4298
(201) 487-4298
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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