Individual
IGOR MELYOKHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 N FRANKLIN TPKE, SUITE 206, RAMSEY, NJ 07446-1177
(201) 962-7282
Mailing address
255 W MICHIGAN AVE, P. O. BOX 1123, JACKSON, MI 49201-2218
(517) 787-6440
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA07642300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098272
—
NJ
Enumeration date
08/01/2006
Last updated
05/15/2012
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