Individual
MELISSA ANNE BANZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1235 WHITEHORSE MERCERVILLE RD STE 301, HAMILTON, NJ 08619-3810
(609) 528-2144
(330) 854-0829
Mailing address
1235 WHITEHORSE MERCERVILLE RD STE 301, HAMILTON, NJ 08619-3810
(095) 282-1446
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA10877500
NJ
207Q00000X
Family Medicine Physician
35.132627
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0305269
—
OH
Enumeration date
05/11/2015
Last updated
09/18/2023
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