Provider Demographics
NPI:1902144702
Name:MERLE F MACNEIL MD PC
Entity type:Organization
Organization Name:MERLE F MACNEIL MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MERLE
Authorized Official - Middle Name:F
Authorized Official - Last Name:MACNEIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-234-9220
Mailing Address - Street 1:130 EAST ST
Mailing Address - Street 2:
Mailing Address - City:WHITINSVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:01588-1923
Mailing Address - Country:US
Mailing Address - Phone:508-234-9220
Mailing Address - Fax:508-234-7415
Practice Address - Street 1:130 EAST ST
Practice Address - Street 2:
Practice Address - City:WHITINSVILLE
Practice Address - State:MA
Practice Address - Zip Code:01588-1923
Practice Address - Country:US
Practice Address - Phone:508-234-9220
Practice Address - Fax:508-234-7415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-29
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty