Individual
DR. MENACHEM MELLER
Active
Individual
DR. MENACHEM MELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD042497
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012802120016
—
PA
01
—
0559166000
KEYSTONE HEALTH PLAN EAST
PA
01
—
2957202
AETNA HMO
PA
01
—
30002020
KMHP
PA
01
—
4292965
AETNA HMO
PA
01
—
721863
BLUE SHIELD
PA
01
—
7375879
CIGNA
PA
Enumeration date
11/08/2005
Last updated
05/09/2008
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