Merion, Judith A

Merion, Judith A is an individual health care provider with primary practice located at 15 Rear Church Street Suite E-1, Vineyard Haven MA 02568. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Merion, Judith A can be contacted via phone (508) 696-9089.

Contact Information

Primary practice address
15 Rear Church Street Suite E-1 Vineyard Haven MA 02568
Phone: (508) 696-9089
Fax: (914) 779-3910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 185785-1 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 234484 Massachusetts
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 185785-1 New York
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 234484 Massachusetts

Profile Details

NPI number 1194857409
LBN Legal business name Merion, Judith A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Jul 9th, 2014 - about 10 years 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 1194857409 NPPES
New York MEDICAID 01257616

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