Individual
DR. JORGE MANUEL MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3580 PEACH ST, SUITE 103A, ERIE, PA 16508-2776
(814) 864-4755
(814) 864-5430
Mailing address
3580 PEACH ST, SUITE 103A, ERIE, PA 16508-2776
(814) 864-4755
(814) 864-5430
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD434424
PA
207RP1001X
Pulmonary Disease Physician
Primary
MD434424
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023282150001
—
PA
01
—
1470457
HIGHMARK PPO
PA
Enumeration date
06/18/2008
Last updated
02/26/2021
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