Melville, Gordon E

Melville, Gordon E is an individual health care provider with primary practice located at 3900 Park Ave Ste 107, Edison NJ 08820-3032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Melville, Gordon E can be contacted via phone (732) 548-6800.

Contact Information

Primary practice address
3900 Park Ave Ste 107 Edison NJ 08820-3032
Phone: (732) 548-6800
Fax: (732) 548-6290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA04658000 New Jersey

Profile Details

NPI number 1346246220
LBN Legal business name Melville, Gordon E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Dec 13th, 2016 - about 8 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 1346246220 NPPES
New Jersey MEDICAID 5144302
New Jersey Other 300102255
New Jersey Other 300009505
New Jersey Other 300025888
New Jersey Other 300102255

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