Individual
SUSAN MELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 W SAHARA AVE STE 800, LAS VEGAS, NV 89102-4397
(203) 666-8145
Mailing address
415 CHAPEL RD, ELKINS PARK, PA 19027-2504
(215) 287-0412
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02006612A
IN
207Q00000X
Family Medicine Physician
17892
CA
207Q00000X
Family Medicine Physician
25MB11418600
NJ
207Q00000X
Family Medicine Physician
91285
SC
207Q00000X
Family Medicine Physician
Primary
OS012125
PA
207Q00000X
Family Medicine Physician
OS18229
FL
207Q00000X
Family Medicine Physician
T4557
TX
207R00000X
Internal Medicine Physician
DO3045
NV
207R00000X
Internal Medicine Physician
OS012125
PA
Other
Enumeration date
08/04/2006
Last updated
10/07/2024
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