Individual
RICHARD MARK MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
21 READE PL, 1000, POUGHKEEPSIE, NY 12601-3912
(845) 214-1880
(845) 214-1885
Mailing address
21 READE PLACE, HEALTH QUEST MEDICAL PRACTICE DIVISION OF PULMONARY, POUGHKEEPSIE, NY 06030-0001
(845) 214-1880
(845) 214-1885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
283734
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
283734
NY
207RP1001X
Pulmonary Disease Physician
Primary
283734
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04448344
—
NY
Enumeration date
04/14/2010
Last updated
09/13/2017
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