Individual
DR. KEVIN F D'MELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-3150
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA10760900
NJ
207R00000X
Internal Medicine Physician
MD448708
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT197420
PA MEDICAL LICENSE NUMBER
PA
Enumeration date
07/22/2010
Last updated
02/25/2020
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