| Doctor Name: | SUZANNE L MERITHEW |
| NPI Number: | 1043385487 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A. |
| License Number: | 590 |
| Business Practice Address: | 2100 Dorchester Ave Suite 2206 Dorchester Center, MA - 021245615 |
| Business Phone Number: | 6172962222 |
| Business Fax Number: | 6172963834 |
| Mailing Address: | 72 Sharp St, A-10 HINGHAM |
| State: | MA |
| Postal Code: | 020434351 |
| Phone Number: | 7813370201 |
| Fax Number: | 7813353674 |
| NPI Enumeration Date: | 11/21/2006 |
| NPI Last Update Date: | 10/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 590 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |