Individual
DR. MARC SANFORD MELAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44 GODWIN AVE STE 201, MIDLAND PARK, NJ 07432-1959
(201) 689-7755
(201) 689-0387
Mailing address
44 GODWIN AVE, SUITE 201, MIDLAND PARK, NJ 07432-1969
(201) 689-7755
(201) 689-0521
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35050
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
35050
NJ
207RP1001X
Pulmonary Disease Physician
35050
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1328808
—
NJ
01
—
156650
ONE HEALTH
NJ
01
—
1K3902
HEALTHNET
NJ
01
—
2189501
AETNA
NJ
Enumeration date
07/07/2005
Last updated
02/26/2014
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