Individual
MELISSA J CALDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
255 LANCASTER AVENUE, MOBII SUITE 124, PAOLI, PA 19301-1763
(610) 648-0553
(610) 640-1350
Mailing address
100 LANCASTER AVENUE, MEDICAL BUILDING WEST SUITE 230, WYNNEWOOD, PA 19096-3450
(610) 642-3756
(610) 641-2945
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS018615
PA
207RP1001X
Pulmonary Disease Physician
Primary
OS018615
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033129260001
—
PA
Enumeration date
05/24/2011
Last updated
08/22/2019
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