Individual
NICOLE MELCHIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 728-6900
(215) 728-2773
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MB11999600
NJ
208600000X
Surgery Physician
34013891
OH
208600000X
Surgery Physician
Primary
OS018230
PA
208600000X
Surgery Physician
OT015293
PA
Other
Enumeration date
02/21/2013
Last updated
06/23/2026
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