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Individual

DAVID W. MERENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
228 BILLERICA RD, CHELMSFORD, MA 01824-3604
(666) 697-8250
(978) 250-6200
Mailing address
147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 02109-4806

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
51371
MA
207V00000X
Obstetrics & Gynecology Physician
MD17766
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0002837
NEIGHBORHOOD HEALTH PLAN
MA
01
051371
TUFTS
MA
01
0765499
CIGNA
MA
05
2086735
MA
01
32330
FALLON
MA
01
4196690
AETNA
MA
01
AA17612
HARVARD PILGRIM
MA
01
J02295
BLUE CROSS
MA
Enumeration date
11/13/2006
Last updated
11/23/2021
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