Individual
ZACHARY MASON MERRIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
401 S VAN BRUNT ST STE 301, ENGLEWOOD, NJ 07631-4600
(201) 659-7700
Mailing address
401 S VAN BRUNT ST STE 301, ENGLEWOOD, NJ 07631-4600
(201) 659-7700
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
050100
CT
207V00000X
Obstetrics & Gynecology Physician
Primary
25MB09689400
NJ
207V00000X
Obstetrics & Gynecology Physician
263823
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0980536
—
NJ
Enumeration date
09/16/2007
Last updated
05/30/2024
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