Individual
DR. DONNA M. MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
308 WILLOW AVE, HOBOKEN, NJ 07030-3808
(201) 418-2065
Mailing address
35 W 36TH ST, BAYONNE, NJ 07002-2902
(201) 339-2992
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA03724000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5392802
—
NJ
Enumeration date
07/08/2005
Last updated
05/15/2008
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