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Individual

DAVID A MELLUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
200 KINGS HWY S, CHERRY HILL, NJ 08034-2506
(856) 429-9009
(856) 429-8400
Mailing address
200 KINGS HWY S, CHERRY HILL, NJ 08034-2506
(856) 429-9009
(856) 429-8400

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD1488
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
209900401
NJ
Enumeration date
06/14/2006
Last updated
12/01/2016
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