Griffin, Mervin

Griffin, Mervin is an sole proprietor health care provider with primary practice located at 20 Livingston Ave Unit 401 , New Brunswick NJ 08901-1991. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Griffin, Mervin can be contacted via phone (917) 881-1223.

Contact Information

Primary practice address
20 Livingston Ave Unit 401 New Brunswick NJ 08901-1991
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 00024696 Alabama
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 213359 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA08065400 New Jersey

Profile Details

NPI number 1487636726
LBN Legal business name Griffin, Mervin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2005
Last updated Jan 22nd, 2024 - about 11 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487636726 NPPES
Alabama MEDICAID 051509907
Alabama Other 930118897
Alabama Other P00451724
Alabama MEDICAID 0107336
Alabama Other 91002398002/NON PAR
Alabama Other 051509907

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