Merola, Henry John
Merola, Henry John is an sole proprietor health care provider with primary practice located at 32 South St Suite 205, Waltham MA 02453-3594. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Merola, Henry John can be contacted via phone (781) 894-8200.Contact Information
Primary practice address
32 South St Suite 205
Waltham MA 02453-3594
Phone: (781) 894-8200
Fax: (781) 894-8202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 59659 | Massachusetts |
Profile Details
| NPI number | 1902963986 |
|---|---|
| LBN Legal business name | Merola, Henry John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902963986 | NPPES |
| Massachusetts | Other | 1902963986 | MEDICARE NPI |
| Massachusetts | MEDICAID | 3145221 | MEDICARE NPI |
| Massachusetts | Other | J07727 | MEDICARE NPI |
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