| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CAROLINE ANNE MERRIAM | 1851974471 | 2022-05-15 |
Caroline Anne Merriam is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1851974471. Registration indicates Caroline Anne Merriam is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Caroline Anne Merriam DO |
| Practice Office Address | 20 YORK ST NEW HAVEN, CT US |
| Practice Office Telephone | 2036884242 |
| Mailing Address | 20 YORK ST NEW HAVEN, CT 065103220 US |
| Business Telephone | 2036884242 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | LL83494
SC |
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |