NPI 1417302241
John Mercandetti
Practice location
- Address
- 102 Heritage Way NE STE 302, Leesburg, VA 20176-4544
- Phone
- (703) 777-0589
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1417302241
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Apr 2016
- Record last updated
- 29 Apr 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.