Individual
DR. SANDY D MELNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER BLVD, CHESTER, PA 19013-3902
(610) 619-7354
(215) 635-9787
Mailing address
1017 MELROSE AVE, MELROSE PARK, PA 19027-3015
(215) 635-6425
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD021147E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001504217
—
PA
Enumeration date
03/20/2007
Last updated
07/08/2007
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