Provider Demographics
NPI:1801233267
Name:MERCHIA, JIWAN (PHD)
Entity Type:Individual
Prefix:
First Name:JIWAN
Middle Name:
Last Name:MERCHIA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 EMILY DR
Mailing Address - Street 2:
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-1029
Mailing Address - Country:US
Mailing Address - Phone:857-919-0814
Mailing Address - Fax:
Practice Address - Street 1:11 EMILY DR
Practice Address - Street 2:
Practice Address - City:NORTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356-1029
Practice Address - Country:US
Practice Address - Phone:857-919-0814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-25
Last Update Date:2013-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor