# MARTIN MELSON JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265978944
- **Gender:** Man
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | R144368 | MD | Yes |
| 363LF0000X | Family Nurse Practitioner | R144368 | MD | — |

## Other

- **Enumeration date:** 01/18/2017
- **Last updated:** 07/31/2018