Organization
DAVID A MELLUL DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A MELLUL D.P.M. (SOLE PROPRIETOR)
(856) 429-9009
Entity
Organization
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
07/22/2006
Last updated
06/02/2010
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