Individual
MR. MICHAEL D'ERCOLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 HERBERT AVE # 2, CLOSTER, NJ 07624-1300
(201) 540-6315
Mailing address
140 HERTBERT AVE #2, CLOSTER, NJ 07624
(201) 540-6315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
034846-01
NY
363A00000X
Physician Assistant
25MP00975100
NJ
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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