Individual
MRS. LISA MERCURIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
17 S WARREN ST, DOVER COMMUNITY CLINIC, DOVER, NJ 07801
(973) 328-3344
Mailing address
27 FAIRFIELD AVE, RANDOLPH, NJ 07869-1442
(973) 442-5756
(973) 442-5889
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
26NR06262700
NJ
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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