Organization
EDWARD A MERCOGLIANO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD ANTHONY MEROCGLIANO MD (OWNER)
(973) 284-0370
Entity
Organization
Contact information
Practice address
181 FRANKLIN AVE, SUITE 305, NUTLEY, NJ 07110-3820
(973) 284-0370
(973) 667-8547
Mailing address
181 FRANKLIN AVE, SUITE 305, NUTLEY, NJ 07110-3820
(973) 284-0370
(973) 667-8547
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA02603700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2839300
—
NJ
Enumeration date
04/25/2011
Last updated
04/25/2011
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