Individual
DR. JENNY MELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 COOPER PLZ, SUITE 215, CAMDEN, NJ 08103-1438
(856) 342-2439
Mailing address
3 COOPER PLZ, SUITE 215, CAMDEN, NJ 08103-1438
(856) 342-2439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA09084700
NJ
207R00000X
Internal Medicine Physician
LP01754
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA09084700
STATE MEDICAL LIC
—
Enumeration date
06/26/2009
Last updated
08/13/2012
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