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Individual

GRACE MERCADO YIA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
723 N BEERS ST, SUITE 2E, HOLMDEL, NJ 07733-1517
(732) 264-3344
(732) 264-1699
Mailing address
723 N BEERS ST, SUITE 2E, HOLMDEL, NJ 07733-1517
(732) 264-3344
(732) 264-1699

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA067810
NJ

Other

Enumeration date
02/24/2006
Last updated
07/08/2007
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