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Organization
NORTH MEDICAL PC
Active
Organization
NORTH MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJOHN MEROLA M.D. (PRESIDENT)
(315) 452-2000
Entity
Organization
Contact information
Practice address
5100 W TAFT RD, (ONE OF 9 DBA'S FOR CORPORATION), LIVERPOOL, NY 13088-3807
(315) 452-2829
(315) 452-2870
Mailing address
5112 W TAFT RD, SUITE L, LIVERPOOL, NY 13088-4868
(315) 452-2501
(315) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NY
207Q00000X
Family Medicine Physician
Primary
—
NY
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NY
207X00000X
Orthopaedic Surgery Physician
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972563070
NPI CORPORATE NUMBER
NY
Enumeration date
03/24/2006
Last updated
04/13/2010
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