| Organization Name: | MERCER MEDICAL GROUP LLC |
| NPI Number: | 1023142718 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUDY GUNDERSHEIM (DIRECTOR OF MEDICAL BILLING) |
| Mailing Address: | 100 Federal City Rd Suite C104 Lawrenceville |
| State: | NJ US |
| Postal Code: | 086481508 |
| Phone Number: | 6095301500 |
| Fax Number: | 6095301600 |
| NPI Enumeration Date: | 03/15/2007 |
| NPI Last Update Date: | 05/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Sleep Disorder Diagnostic |
| Taxonomy Definition: | |