| Wake Up With Makeup By Merryl Inc | |
|
43 New Ct Long Branch NJ 07740-5102 | |
| (732) 915-4445 | |
| Not Available |
| Full Name | Wake Up With Makeup By Merryl Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 43 New Ct, Long Branch, New Jersey |
| Authorized Official Name and Position | Merryl J Kolb (NURSE PRACTITIONER) |
| Authorized Official Contact | 9086700064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wake Up With Makeup By Merryl Inc 98 Cottage Pl Long Branch NJ 07740-5708 Ph: (732) 915-4445 | Wake Up With Makeup By Merryl Inc 43 New Ct Long Branch NJ 07740-5102 Ph: (732) 915-4445 |
| NPI Number | 1295482057 |
|---|---|
| Provider Enumeration Date | 03/02/2022 |
| Last Update Date | 07/20/2022 |
| Medicare PECOS PAC ID | 2365824851 |
|---|---|
| Medicare Enrollment ID | O20220730000192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295482057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Merryl J Kolb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265906002 PECOS PAC ID: 0941632616 Enrollment ID: I20191119000098 |
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