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Individual
MELVYN A. LOBO
Active
Individual
MELVYN A. LOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
223096-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000499349004
BSNENY
NY
05
—
02495123
—
NY
01
—
070109000001
FIDELIS
NY
01
—
10059187
CDPHP
NY
01
—
114977
GHI/HMO
NY
01
—
200104
SENIOR WHOLE HEALTH
NY
01
—
4151243
MVP
NY
01
—
5780B1
EMPIRE BC
NY
01
—
7692511
AETNA
NY
Enumeration date
02/24/2006
Last updated
09/21/2012
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