Individual
SIMON MELNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 675-1054
(508) 324-7777
Mailing address
386 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 324-3550
(508) 676-5671
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
270103
MA
207Q00000X
Family Medicine Physician
DO00518
RI
208D00000X
General Practice Physician
DO00518
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007056540
—
RI
Enumeration date
06/06/2006
Last updated
01/18/2021
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