Provider Demographics
NPI:1912043258
Name:MERRIAM, WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:MERRIAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:915 OLD FERN HILL RD
Mailing Address - Street 2:BUILDING B STE 202
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4269
Mailing Address - Country:US
Mailing Address - Phone:610-692-4270
Mailing Address - Fax:610-692-2566
Practice Address - Street 1:915 OLD FERN HILL RD
Practice Address - Street 2:BUILDING B STE 202
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4269
Practice Address - Country:US
Practice Address - Phone:610-692-4270
Practice Address - Fax:610-692-2566
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2011-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD427453208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology