Doctor Name: | ALOYSIUS VINCETN MURCKO |
NPI Number: | 1669694964 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DMD |
License Number: | DS017341L |
Business Practice Address: | 7421 Sharon Mercer Road Mercer, PA - 161376538 |
Business Phone Number: | 7249816380 |
Business Fax Number: | |
Mailing Address: | 1468 Bend Road, MERCER |
State: | PA |
Postal Code: | 161372404 |
Phone Number: | 7243472410 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204E00000X |
License Number: | DS017341L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Oral & Maxillofacial Surgery |
Taxonomy Specialization: | |
Taxonomy Definition: |