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Individual

BRENDAN M MELVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9000 FRANKLIN SQUARE DRIVE, BALTIMORE, MD 21218
(202) 877-9696
Mailing address
1000 RIVER ROAD, STE 100, CONSHOHOCKEN, PA 19428
(800) 355-3818
(610) 834-2862

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D62540
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
75859901
BLUE SHIELD
MD
01
P00232890
RAILROAD MED
MD
Enumeration date
10/03/2006
Last updated
02/29/2008
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