Individual
MELISSA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE STREET, 3 DULLES, PHILADELPHIA, PA 19104-4328
(215) 662-3360
Mailing address
3400 SPRUCE STREET, 3 DULLES, PHILADELPHIA, PA 19104-4328
(215) 662-3360
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
MD477113
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/22/2017
Last updated
10/04/2022
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