| Mercy Drive Regional Corporation | |
|
498 Ferry Street Newark NJ 07105 | |
| (718) 725-9895 | |
| Not Available |
| Full Name | Mercy Drive Regional Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 498 Ferry Street, Newark, New Jersey |
| Authorized Official Name and Position | Jomaira Martinez (COMPLIANCE OFFICER) |
| Authorized Official Contact | 7187259895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Drive Regional Corporation 498 Ferry Street Newark NJ 07105 Ph: () - | Mercy Drive Regional Corporation 498 Ferry Street Newark NJ 07105 Ph: (718) 725-9895 |
| NPI Number | 1235748526 |
|---|---|
| Provider Enumeration Date | 07/23/2020 |
| Last Update Date | 07/23/2020 |
| Certification Date | 07/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235748526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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