Individual
PRISCILLA MERRIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5418
(617) 632-5204
Mailing address
450 BROOKLINE AVE, BOSTON, MA 02215-5418
(617) 632-5204
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
254182
MA
207RH0003X
Hematology & Oncology Physician
MD13201
RI
Other
Enumeration date
04/17/2007
Last updated
12/09/2014
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