# ESP MED LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UroGynOb
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104116458
- **Authorized official:** DR. VIKAS MERCHIA M.D. (MANAGING MEMBER)
- **Authorized official phone:** (508) 521-9377

## Contact information

- **Practice address:** 830 OAK ST, SUITE 102W, BROCKTON, MA 02301-1168
- **Practice address phone:** (508) 897-4790
- **Practice address fax:** (508) 897-4778
- **Mailing address:** 11 EMILY DR, NORTH EASTON, MA 02356-1029
- **Mailing address phone:** (508) 521-9377
- **Mailing address fax:** (508) 916-3017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RB0002X | Obesity Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RB0002X | Obesity Medicine (Internal Medicine) Physician | — | — | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/07/2011
- **Last updated:** 04/07/2011