Individual
DR. HENRY JOHN MEROLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
32 SOUTH ST, SUITE 205, WALTHAM, MA 02453-3594
(781) 894-8200
(781) 894-8202
Mailing address
32 SOUTH ST, SUITE 205, WALTHAM, MA 02453-3594
(781) 894-8200
(781) 894-8202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59659
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902963986
MEDICARE NPI
MA
05
—
3145221
—
MA
01
—
J07727
MEDICARE ID
MA
Enumeration date
01/02/2007
Last updated
03/07/2023
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