Esp Medical Llc | |
830 Oak St Suite 102w Brockton MA 02301-1168 | |
(508) 521-9259 | |
(844) 823-0453 |
Full Name | Esp Medical Llc |
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Speciality | Obstetrics & Gynecology |
Location | 830 Oak St, Brockton, Massachusetts |
Authorized Official Name and Position | Vikas Merchia (MANAGING MEMBER) |
Authorized Official Contact | 5082715157 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Esp Medical Llc 11 Emily Dr North Easton MA 02356-1029 Ph: (508) 219-4501 | Esp Medical Llc 830 Oak St Suite 102w Brockton MA 02301-1168 Ph: (508) 521-9259 |
NPI Number | 1548592934 |
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Provider Enumeration Date | 02/10/2010 |
Last Update Date | 04/24/2024 |
Medicare PECOS PAC ID | 4880872746 |
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Medicare Enrollment ID | O20110623000110 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548592934 | NPI | - | NPPES |
2126842 | Medicaid | MA |
Provider Name | Vikas Merchia |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1811966948 PECOS PAC ID: 3274633276 Enrollment ID: I20070705000015 |
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