Individual
MELISSA MARIE BOLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7890
Mailing address
3131 N BROAD ST UNIT 1, PMB 2072, PHILADELPHIA, PA 19132-2422
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OT024961
PA
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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