Individual
MELISSA ITIDIARE LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, MBS, DO
Contact information
Practice address
18 E LAUREL RD, STRATFORD, NJ 08084-1327
(856) 346-7985
Mailing address
18 E LAUREL RD, STRATFORD, NJ 08084-1327
(267) 551-0085
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB11867800
NJ
Other
Enumeration date
06/12/2020
Last updated
02/27/2024
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