Individual
DR. MICHAEL MERCED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
465 MOUNT PROSPECT AVE, NEWARK, NJ 07104-2907
(973) 483-3640
(973) 483-4895
Mailing address
465 MOUNT PROSPECT AVE, NEWARK, NJ 07104-2907
(973) 483-3640
(973) 483-4895
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA10954500
NJ
207Q00000X
Family Medicine Physician
54128
KY
Other
Enumeration date
04/12/2017
Last updated
10/07/2021
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