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Individual

DR. BRUCE L. MELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 WESTAGE BUSINESS CTR DR, FISHKILL, NY 12524-2223
(845) 897-8076
Mailing address
400 WESTAGE BUSINESS CTR DR, FISHKILL, NY 12524-2223
(845) 897-8076

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
154807
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00915866
NY
Enumeration date
03/08/2007
Last updated
07/08/2007
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