Provider Demographics
NPI:1245536234
Name:DELA MERCED, JACQUELINE SUE (MD)
Entity type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:SUE
Last Name:DELA MERCED
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:599 SIR FRANCIS DRAKE BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:GREENBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94904-1712
Mailing Address - Country:US
Mailing Address - Phone:415-461-1949
Mailing Address - Fax:415-461-1948
Practice Address - Street 1:599 SIR FRANCIS DRAKE BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904-1712
Practice Address - Country:US
Practice Address - Phone:415-461-1949
Practice Address - Fax:415-461-1948
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-08
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA106528207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology