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Individual

DR. MELONIE ROMINA PALMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
1004 SOCIETY DR, PALMER PODIATRY, CLAYMONT, DE 19703-1782
(302) 792-1961
(302) 792-1981
Mailing address
10 BASSWOOD LN, WILMINGTON, DE 19810-1927
(302) 792-1961
(302) 792-1981

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1-0000131
DE
213E00000X
Podiatrist
SC003464R
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000878817
DE
01
0440231000
BLUE SHIELD HMO ID#
PA
Enumeration date
10/01/2006
Last updated
07/09/2007
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