Provider Demographics
NPI:1780307587
Name:MERLI, MARK CESARE (DPT)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:CESARE
Last Name:MERLI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:106 HOSPITAL ST
Mailing Address - Street 2:
Mailing Address - City:PECKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18452-1108
Mailing Address - Country:US
Mailing Address - Phone:570-575-8426
Mailing Address - Fax:
Practice Address - Street 1:174 HARVEST LN
Practice Address - Street 2:
Practice Address - City:POCONO SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18346-7761
Practice Address - Country:US
Practice Address - Phone:272-639-5411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist