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Individual

ZONDA JEANNE MERCER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1234 BROADWAY, SOMERVILLE, MA 02144-1703
(617) 547-3947
Mailing address
47 COGSWELL AVE, APT 21, CAMBRIDGE, MA 02140-2045
(617) 547-3947

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
31932
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
B11453
BCBS
MA
Enumeration date
09/20/2006
Last updated
06/30/2016
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