Provider Demographics
NPI:1578762050
Name:RVP
Entity Type:Organization
Organization Name:RVP
Other - Org Name:SLEEPHEART
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:PANKAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:MERCHIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-538-0685
Mailing Address - Street 1:90 LONGWOOD AVE
Mailing Address - Street 2:SUITE 9J
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-6640
Mailing Address - Country:US
Mailing Address - Phone:617-538-0685
Mailing Address - Fax:
Practice Address - Street 1:90 LONGWOOD AVE
Practice Address - Street 2:SUITE 9J
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-6640
Practice Address - Country:US
Practice Address - Phone:617-538-0685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty