Organization
MELROSE PODIATRY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOHN CHERELLA DPM (PRESIDENT)
(215) 462-2610
Entity
Organization
Contact information
Practice address
1520 SNYDER AVE, PHILADELPHIA, PA 19145-3937
(215) 462-2610
(215) 462-0445
Mailing address
1520 SNYDER AVENUE, PHILADEPHIA, PA 19145
(215) 462-2610
(215) 462-0445
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148848101
—
PA
01
—
623152
BLUE CROSS/BLUE SHIELD
PA
Enumeration date
08/18/2006
Last updated
09/06/2012
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