Basic Information
| Provider Information | |||||||||
| NPI: | 1912070095 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MERSKY | ||||||||
| FirstName: | ANDREW | ||||||||
| MiddleName: | MEYER | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 700 LAWN AVENUE | ||||||||
| Address2: | GRAND VIEW HOSPITAL | ||||||||
| City: | SELLERSVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 18960 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2154534674 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 700 LAWN AVE | ||||||||
| Address2: | |||||||||
| City: | SELLERSVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 189601548 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2154534674 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/16/2006 | ||||||||
| LastUpdateDate: | 06/17/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | OS013777 | PA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.