Individual
MAKSIM V MERENKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
80 WILLIAM ST, WESTFIELD, MA 01085-3218
(413) 231-6198
Mailing address
80 WILLIAM ST, WESTFIELD, MA 01085-3218
(413) 231-6198
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2304223
MA
Other
Enumeration date
07/13/2019
Last updated
09/10/2019
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