Individual
JUDITH E. MELICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6609 RISING SUN AVE, PHILADELPHIA, PA 19111-4651
(215) 722-4444
(215) 722-1111
Mailing address
6609 RISING SUN AVE, PHILADELPHIA, PA 19111-4651
(215) 722-4444
(215) 722-1111
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD028008E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01569329
—
PA
Enumeration date
05/23/2006
Last updated
07/08/2007
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