Individual
EVAN MERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 OAK ST STE 200W, BROCKTON, MA 02301-1191
(774) 480-1600
(774) 480-1625
Mailing address
830 OAK ST STE 200W, BROCKTON, MA 02301-1191
(774) 480-1600
(774) 480-1625
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1016149
MA
2086S0129X
Vascular Surgery Physician
1016149
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2018
Last updated
08/03/2026
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