Organization
NICK MELLIS MD PA
Active
Parent organization
NICHOLAS MELLIS
Organization subpart
Yes
Provider details
NPI number
Legal business name
NICHOLAS MELLIS
Authorized official
NICK MELLIS (OWNER)
(410) 560-5652
Entity
Organization
Contact information
Practice address
2352 YORK RD, TIMONIUM, MD 21093-2236
(410) 560-5652
Mailing address
2352 YORK RD, TIMONIUM, MD 21093-2236
(410) 560-5652
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0047762
MD
Other
Enumeration date
01/19/2010
Last updated
09/26/2011
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