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Individual
MELISSA ANNE BANZON
Active
Individual
MELISSA ANNE BANZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA10877500
NJ
207Q00000X
Family Medicine Physician
35.132627
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0305269
—
OH
Enumeration date
05/11/2015
Last updated
09/18/2023
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