Individual
BRIAN R MELAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., M.D.
Contact information
Practice address
169 MARTIN AVE, EPHRATA, PA 17522-1724
(717) 859-4533
(717) 859-4475
Mailing address
PO BOX 815, EPHRATA, PA 17522-0815
(888) 425-4481
(302) 709-2401
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD031583E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001043165
—
PA
01
—
050015081
RAILROAD MEDICARE
PA
Enumeration date
09/21/2006
Last updated
09/06/2012
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