Individual
JONATHAN MELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6000
Mailing address
11 W WALNUT AVE FL 1, MERCHANTVILLE, NJ 08109-2312
(518) 222-3692
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00244900
NJ
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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