Individual
DR. DELIA CHRISTINA MELTONTATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1415 NORTH BROAD STREET, SUITE 224, BROAD STREET HEALTH CENTER, PHILADELPHIA, PA 19122-3323
(215) 235-7944
(215) 235-3361
Mailing address
5619-25 VINE STREET, SPECTRUM HEALTH SERVICES, INC., PHILADELPHIA, PA 19139-1302
(215) 471-2761
(215) 471-2929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD043306L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019487970002
—
PA
01
—
002769
FIRST PRIORITY HEALTH
PA
05
—
01948797
—
PA
01
—
1490297
HIGHMARK BLUE SHIELD
PA
01
—
232175463
AETNA
PA
01
—
96030-C241
GEISINGER
PA
Enumeration date
01/23/2006
Last updated
01/20/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us