Individual
MRS. ELISA J MERCURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6 TSIENNETO RD, SUITE 100, DERRY, NH 03038-1584
(603) 537-1300
(603) 537-1355
Mailing address
6 TSIENNETO RD, SUITE 100, DERRY, NH 03038-1584
(603) 537-1300
(603) 537-1355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12395
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30223121
—
NH
Enumeration date
09/08/2005
Last updated
07/08/2007
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