Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD464207 | PA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD464207 | PA |
NPI | 1063772325 |
---|---|
Provider Name | Dr. John James Mercuri |
First Address | Danville, PA 17822-4903 |
Second Address | Scranton, PA 18508-2576 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2012 |
Last Update Date | 31/08/2020 |