Individual
MELISSA BACCHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1601 N KINGS HWY, SUTIE 800, CHERRY HILL, NJ 08034-2303
(856) 433-6200
(856) 433-6201
Mailing address
1601 N KINGS HWY, SUTIE 800, CHERRY HILL, NJ 08034-2303
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00221100
NJ
Other
Enumeration date
04/02/2010
Last updated
05/04/2011
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