Organization
ESP MEDICAL LLC
Active
Organization
ESP MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIKAS MERCHIA MD (MANAGING MEMBER)
(508) 271-5157
Entity
Organization
Contact information
Practice address
830 OAK ST, SUITE 102W, BROCKTON, MA 02301-1168
(508) 521-9259
(844) 823-0453
Mailing address
11 EMILY DR, NORTH EASTON, MA 02356-1029
(508) 219-4501
(617) 581-6523
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
231507
MA
207RB0002X
Obesity Medicine (Internal Medicine) Physician
231507
MA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
231507
MA
207V00000X
Obstetrics & Gynecology Physician
208912
MA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
208912
MA
207VG0400X
Gynecology Physician
—
—
207VX0000X
Obstetrics Physician
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
231507
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2126842
—
MA
Enumeration date
02/10/2010
Last updated
04/24/2024
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