Provider Demographics
NPI:1386606002
Name:MERLO, FRANCIS A (DO)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:A
Last Name:MERLO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33663 BAYVIEW MEDICAL DR
Mailing Address - Street 2:UNIT 1
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1663
Mailing Address - Country:US
Mailing Address - Phone:302-645-3555
Mailing Address - Fax:302-644-3560
Practice Address - Street 1:32550 DOCS PL
Practice Address - Street 2:
Practice Address - City:MILLVILLE
Practice Address - State:DE
Practice Address - Zip Code:19967-6953
Practice Address - Country:US
Practice Address - Phone:302-539-4302
Practice Address - Fax:302-539-4305
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB02797300207R00000X
DEC2-0010561207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7267207Medicaid
155358NYUMedicare ID - Type Unspecified
B40123Medicare UPIN