Individual
DR. STEPHEN JOHN MERENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
192 TILLEY DR, SOUTH BURLINGTON, VT 05403-4440
(802) 847-2663
(802) 847-3828
Mailing address
192 TILLEY DR, SOUTH BURLINGTON, VT 05403-4440
(802) 847-2663
(802) 847-3828
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
056-0000174
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN2096
—
VT
01
—
48378
BC/BS
VT
Enumeration date
07/09/2006
Last updated
01/15/2015
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