Mercado, Gloria V

Mercado, Gloria V is an individual health care provider with primary practice located at 387 Quarry St Suite 100, Fall River MA 02723-1025. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Mercado, Gloria V can be contacted via phone (508) 679-8111.

Contact Information

Primary practice address
387 Quarry St Suite 100 Fall River MA 02723-1025
Phone: (508) 679-8111
Fax: (508) 674-5028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 51934 Massachusetts

Profile Details

NPI number 1578628715
LBN Legal business name Mercado, Gloria V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jan 4th, 2013 - about 13 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 1578628715 NPPES
Massachusetts MEDICAID 3003604
Massachusetts Other 412269
Massachusetts Other 44289
Massachusetts Other 0039507
Massachusetts Other 0103124
Massachusetts Other 210126
Massachusetts Other 961245-01
Massachusetts Other J05037

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