Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MT050309 | PA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | C1-0008631 | DE |
NPI | 1215073127 |
---|---|
Provider Name | Jennifer Merriman |
First Address | Newark, DE 19713-2137 |
Second Address | Newark, DE 19713-2137 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 16/11/2011 |