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MERCER SURGICAL GROUP PC NPI 1811942337


NPI Information

NPI: 1811942337
Provider Name: MERCER SURGICAL GROUP PC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
2063 KLOCKNER RD
HAMILTON, NJ
ZIP 08690
Phone: (609) 586-9788
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MERCER SURGICAL GROUP PC is a vascular surgery surgery in Hamilton, NJ. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. MERCER SURGICAL GROUP PC NPI is 1811942337. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2063 KLOCKNER RD
HAMILTON, NJ
ZIP 08690-414
Phone: (609) 586-9788
Fax: (609) 586-1232

The provider's authorized official is Reza Ali Shah .
The authorized official title is Owner and has the following contact phone number (609) 586-9788.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 8/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery25MB06764700NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERNEW JERSEYTAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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