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Organization
MELLON CHIROPRACTIC CLINIC, P.C.
Active
Organization
MELLON CHIROPRACTIC CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER JAMES MELLON D.C. (PRESIDENT/OWNER)
(301) 831-5444
Entity
Organization
Contact information
Practice address
13002 PENN SHOP RD, MOUNT AIRY, MD 21771-4517
(301) 831-5444
(301) 829-5729
Mailing address
13002 PENN SHOP RD, MOUNT AIRY, MD 21771-4517
(301) 831-5444
(301) 829-5729
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01555
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679665624
NPI TYPE 1
MD
Enumeration date
02/20/2012
Last updated
02/20/2012
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