Mercuro, Elisa J

Mercuro, Elisa J is an individual health care provider with primary practice located at 6 Tsienneto Rd Suite 100, Derry NH 03038-1584. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mercuro, Elisa J can be contacted via phone (603) 537-1300.

Contact Information

Primary practice address
6 Tsienneto Rd Suite 100 Derry NH 03038-1584
Fax: (603) 537-1355
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12395 New Hampshire

Profile Details

NPI number 1609860352
LBN Legal business name Mercuro, Elisa J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jul 8th, 2007 - about 19 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 1609860352 NPPES
New Hampshire MEDICAID 30223121

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