Organization
SIMON MELNICK DO, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON MELNICK DO (OWNER)
(401) 886-7030
Entity
Organization
Contact information
Practice address
1050 MAIN ST UNIT 8, EAST GREENWICH, RI 02818-3162
(401) 886-7030
(401) 886-7031
Mailing address
60 FALCON CIR, EAST GREENWICH, RI 02818-1307
(401) 886-7030
(401) 886-7031
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
DO00518
RI
Other
Enumeration date
04/22/2009
Last updated
04/07/2011
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