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Individual

PAUL MELNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
111 W HIGH ST, SUITE 107, ELKTON, MD 21921-5529
(410) 392-7044
(410) 620-0055
Mailing address
PO BOX 190, ELKTON, MD 21922-0190

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
C1-0003448
DE
2084N0400X
Neurology Physician
Primary
D0039680
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000021421
DE
05
406618900
MD
01
P00060843
MEDICARE RAILROAD
MD
01
P00134099
MEDICARE RAILROAD
DE
Enumeration date
04/28/2006
Last updated
03/08/2022
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