Doctor Name: | DR. MERJA TUULIA CLEGG |
NPI Number: | 1538320767 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | ME 107774 |
Business Practice Address: | 370 Minorca Ave, 2nd Floor Primecare Of Coral Gables Coral Gables, FL - 33134 |
Business Phone Number: | 3054433001 |
Business Fax Number: | 3054419427 |
Mailing Address: | 370 Minorca Ave, 2nd Floor, Primecare Of Coral Gables CORAL GABLES |
State: | FL |
Postal Code: | 33134 |
Phone Number: | 3054433001 |
Fax Number: | 7862358575 |
NPI Enumeration Date: | 06/20/2008 |
NPI Last Update Date: | 07/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME 107774 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |