Individual
MELISSA MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
176 PALISADE AVE, JERSEY CITY, NJ 07306-1121
(201) 795-8200
Mailing address
176 PALISADE AVE, JERSEY CITY, NJ 07306-1121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NA
NJ
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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