Healthcare Provider Details
I. General information
NPI: 1386606002
Provider Name (Legal Business Name): FRANCIS A MERLO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/06/2006
Last Update Date: 03/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
32550 DOCS PL
MILLVILLE DE
19967-6953
US
IV. Provider business mailing address
33663 BAYVIEW MEDICAL DR UNIT 1
LEWES DE
19958-1663
US
V. Phone/Fax
- Phone: 302-539-4302
- Fax: 302-539-4305
- Phone: 302-645-3555
- Fax: 302-644-3560
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 25MB02797300 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | C2-0010561 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: