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Individual

DR. MELISSA NEUWELT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3100 SAN PABLO AVE, BERKELEY, CA 94702-2498
(510) 985-5100
Mailing address
400 PARNASSUS ST, 7TH FLOOR, BOX 0344, SAN FRANCISCO, CA 94122-2534
(570) 628-4444
(570) 628-3088

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4301095931
MI
207W00000X
Ophthalmology Physician
Primary
C150163
CA
207W00000X
Ophthalmology Physician
MD445912
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102728306
PA
01
1205878915
GROUP NPI
PA
01
1861435174
GROUP NPI
PA
01
20-0300649
GROUP TAX ID
PA
01
23-2413259
GROUP TAX ID #
PA
Enumeration date
06/01/2007
Last updated
01/06/2023
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