Mercurio, Dante C

Mercurio, Dante C is an sole proprietor health care provider with primary practice located at 1099 Bloomfield Ave Ste 14, West Caldwell NJ 07006-7129. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mercurio, Dante C can be contacted via phone (973) 227-0642.

Contact Information

Primary practice address
1099 Bloomfield Ave Ste 14 West Caldwell NJ 07006-7129
Phone: (973) 227-0642
Fax: (973) 227-0675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35SI00344600 New Jersey

Profile Details

NPI number 1942381777
LBN Legal business name Mercurio, Dante C
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942381777 NPPES
New Jersey MEDICAID 7191901

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