Individual
JONATHAN MARK MELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
667 BOYLSTON ST, 4TH FLOOR, BOSTON, MA 02116-4809
(617) 421-1881
(617) 236-0359
Mailing address
667 BOYLSTON ST, 4TH FLOOR, BOSTON, MA 02116-4809
(617) 421-1881
(617) 236-0359
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 1248
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0604520
AETNA/US HEALTHCARE
MA
01
—
2906313-001
CIGNA
MA
01
—
726727
TUFTS
MA
01
—
AA3766
HARVARD PILGRIM HEALTH CA
MA
01
—
Y35915
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/15/2005
Last updated
11/24/2014
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