Individual
MELISSA D KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 S 11TH ST, SUITE 3390, PHILADELPHIA, PA 19107-4824
(215) 955-6226
(215) 923-1562
Mailing address
615 CHESTNUT ST, 14TH FLOOR, PHILADELPHIA, PA 19106-4404
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD428518
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159913
—
NJ
05
—
1015782400002
—
PA
Enumeration date
05/27/2006
Last updated
03/25/2009
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