Melendez, Grace
Melendez, Grace is an individual health care provider with primary practice located at 642 Broad St 2Nd Floor, Ste 9, Clifton NJ 07013-1615. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Melendez, Grace can be contacted via phone (973) 614-9500.Contact Information
Primary practice address
642 Broad St 2Nd Floor, Ste 9
Clifton NJ 07013-1615
Phone: (973) 614-9500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA05874300 | New Jersey |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 25MA05874300 | New Jersey |
Profile Details
| NPI number | 1710971676 |
|---|---|
| LBN Legal business name | Melendez, Grace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Apr 6th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710971676 | NPPES |
| New Jersey | MEDICAID | 5508801 |
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