Provider Demographics
NPI:1386040624
Name:NEPHROLOGY ASSOCIATES OF THE MERRIMACK VALLEY CIRCLE, LLC
Entity Type:Organization
Organization Name:NEPHROLOGY ASSOCIATES OF THE MERRIMACK VALLEY CIRCLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:MESLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-453-1811
Mailing Address - Street 1:33 BARTLETT ST
Mailing Address - Street 2:STE 108
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1334
Mailing Address - Country:US
Mailing Address - Phone:978-453-1811
Mailing Address - Fax:978-452-9111
Practice Address - Street 1:33 BARTLETT ST
Practice Address - Street 2:STE 108
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1334
Practice Address - Country:US
Practice Address - Phone:978-453-1811
Practice Address - Fax:978-452-9111
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEPHROLOGY ASSOCIATES OF THE MERRIMACK VALLEY, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-11-14
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA70684207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty