Individual
DR. NICHOLAS G. MELILLO
Active
Individual
DR. NICHOLAS G. MELILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA03774600
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MA03774600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1824902
—
NJ
01
—
203711560
TAX ID
NJ
01
—
222955187
TAX ID
NJ
Enumeration date
04/05/2006
Last updated
12/11/2018
Update your record
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