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Individual
RICHARD W MELLINGER
Active
Individual
RICHARD W MELLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD016027E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0650990
—
PA
01
—
161468
FREEDOM BLUE
PA
01
—
50051214
CAPITAL BLUE
PA
01
—
P002456
GATEWAY ASSURED
PA
01
—
P00261140 -GRPDD6938
RAILROAD MEDICARE
PA
Enumeration date
07/31/2006
Last updated
10/11/2012
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