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Organization

MERCER PRIMARY CARE ASSOCIATES LLC

Active
Other names
LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DIANE WARNER GAUKLER-GEORGE RN (OFFICE MANAGER)
(609) 844-0083
Entity
Organization

Contact information

Practice address
123 FRANKLIN CORNER RD, SUITE 204, LAWRENCEVILLE, NJ 08648-2526
(609) 844-0084
(609) 844-0085
Mailing address
123 FRANKLIN CORNER RD, SUITE 204, LAWRENCEVILLE, NJ 08648-2526
(609) 844-0084
(609) 844-0085

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA 049502
NJ
207R00000X
Internal Medicine Physician
MD 044787L
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2460904
NJ
Enumeration date
08/13/2006
Last updated
08/22/2020
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