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Organization
NICK MELLIS MD PA
Active
Organization
NICK MELLIS MD PA
Active
Parent organization
NICHOLAS MELLIS
Organization subpart
Yes
Provider details
NPI number
Legal business name
NICHOLAS MELLIS
Authorized official
NICK MELLIS (OWNER)
(410) 560-5652
Entity
Organization
Contact information
Practice address
2352 YORK RD, TIMONIUM, MD 21093-2236
(410) 560-5652
Mailing address
2352 YORK RD, TIMONIUM, MD 21093-2236
(410) 560-5652
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0047762
MD
Other
Enumeration date
01/19/2010
Last updated
09/26/2011
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