Meller, Menachem

Meller, Menachem is an individual health care provider with primary practice located at 501 S 54Th St , Philadelphia PA 19143-1900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Meller, Menachem can be contacted via phone (215) 748-9822.

Contact Information

Primary practice address
501 S 54Th St Philadelphia PA 19143-1900
Phone: (215) 748-9822
Fax: (215) 748-9717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD042497 Pennsylvania

Profile Details

NPI number 1114908050
LBN Legal business name Meller, Menachem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated May 9th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114908050 NPPES
Pennsylvania Other 4292965 AETNA HMO
Pennsylvania Other 30002020 AETNA HMO
Pennsylvania Other 2957202 AETNA HMO
Pennsylvania Other 721863 AETNA HMO
Pennsylvania MEDICAID 0012802120016 AETNA HMO
Pennsylvania Other 0559166000 AETNA HMO
Pennsylvania Other 7375879 AETNA HMO

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