Individual
DR. DANTE C MERCURIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1099 BLOOMFIELD AVE, STE 14, WEST CALDWELL, NJ 07006-7129
(973) 227-0642
(973) 227-0675
Mailing address
1099 BLOOMFIELD AVE, STE 14, WEST CALDWELL, NJ 07006-7129
(973) 227-0642
(973) 227-0675
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00344600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7191901
—
NJ
Enumeration date
10/18/2006
Last updated
07/09/2007
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