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Individual
MELISSA DUAN
Active
Individual
MELISSA DUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
253355
MA
207L00000X
Anesthesiology Physician
Primary
MD166546
OR
390200000X
Student in an Organized Health Care Education/Training Program
236453
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500673806
—
OR
Enumeration date
05/29/2008
Last updated
10/12/2018
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