Organization
MERITAS SURGICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX D JUAN M.D. (PRESIDENT, CORPORATION)
(740) 344-2452
Entity
Organization
Contact information
Practice address
1970 TAMARACK RD, NEWARK, OH 43055-1363
(740) 344-2452
(740) 344-7305
Mailing address
1970 TAMARACK RD, NEWARK, OH 43055-1363
(740) 344-2452
(740) 344-7305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
48932
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007114
TRICARE
—
01
—
020028676
UHC/TRAVLER'S MEDICARE
—
05
—
0205629
—
OH
01
—
1305142
FEDERAL BLACK LUNG
—
Enumeration date
11/11/2005
Last updated
08/17/2018
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