Individual
WADY NELSON MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
265 FRANKLIN AVE, NUTLEY, NJ 07110-2712
(973) 358-9555
Mailing address
412 E 39TH ST, PATERSON, NJ 07504-1416
(973) 653-0065
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00425800
NJ
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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