Individual
DAVID B MELZACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8640
(781) 744-5778
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8640
(781) 744-5778
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
258915
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110074540A
—
MA
Enumeration date
11/21/2006
Last updated
11/30/2010
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