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
207R00000X
Internal Medicine Physician
—
—
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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