Individual
MERRILYN JANE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 782-8000
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD05994
RI
208M00000X
Hospitalist Physician
MD05994
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7056701
—
RI
Enumeration date
06/08/2006
Last updated
04/22/2008
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