Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 288095 | MA |
NPI | 1306291950 |
---|---|
Provider Name | Jenna Meriggi |
First Address | North Andover, MA 01845-5937 |
Second Address | Haverhill, MA 01830-6790 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2016 |
Last Update Date | 13/10/2021 |