Individual
MICHELE E MEROLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
73 AIDEN RD, FAIRHAVEN, MA 02719
(508) 990-2125
(508) 997-4902
Mailing address
73 AIDEN RD, FAIRHAVEN, MA 02719
(508) 990-2125
(508) 997-4902
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
153
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1610678
—
MA
01
—
4400182
UH
—
01
—
Y35045
BCMA
—
Enumeration date
02/13/2007
Last updated
07/08/2007
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