Individual
DR. MARY C MELANCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
106 IRVING ST NW, WASHINGTON, DC 20010-2927
(202) 877-7000
Mailing address
PO BOX 418498, BOSTON, MA 02241-8498
(703) 558-1544
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD21384
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010203040
—
DC
05
—
017165800
—
DC
05
—
759210800
—
DC
Enumeration date
01/27/2006
Last updated
03/12/2012
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