Individual
GINO MERCADANTE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 CENTER ST, LUDLOW, MA 01056-2772
(413) 589-7176
(413) 589-7710
Mailing address
200 CENTER ST, LUDLOW, MA 01056-2772
(413) 589-7176
(413) 589-7710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
71877
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3059766
—
MA
Enumeration date
06/22/2005
Last updated
07/08/2007
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