Frederikse, Melissa Ellison

Frederikse, Melissa Ellison is an individual health care provider with primary practice located at 225 Millburn Ave Suite 210, Millburn NJ 07041-1737. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Frederikse, Melissa Ellison can be contacted via phone (973) 218-1511.

Contact Information

Primary practice address
225 Millburn Ave Suite 210 Millburn NJ 07041-1737
Phone: (973) 218-1511
Fax: (973) 218-1477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25MA06949500 New Jersey

Profile Details

NPI number 1710910294
LBN Legal business name Frederikse, Melissa Ellison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Apr 2nd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710910294 NPPES
New Jersey MEDICAID 8148007

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