Individual
DR. MELVIN YUDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
735 FITZWATERTOWN RD, WILLOW GROVE, PA 19090-1332
(215) 657-2012
(215) 657-2018
Mailing address
735 FITZWATERTOWN RD, WILLOW GROVE, PA 19090-1332
(215) 657-2012
(215) 657-2018
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD-007740-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048669000
KEYSTONE
PA
01
—
018693
HIGHMARK BLUE SHIELD
PA
01
—
02334MD007740E
HEALTH PARTNERS
PA
05
—
0698751
—
PA
01
—
1033381
KEYSTONE MERCY
PA
01
—
1066639
CIGNA
PA
01
—
231952978
TAX-ID
PA
01
—
390001332
RR MEDICARE
PA
01
—
4089599
AETNA
PA
Enumeration date
09/21/2006
Last updated
05/22/2008
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