Organization
MELVIN I. ROAT, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN I ROAT MD (PRACTICE OWNER)
(610) 645-5755
Entity
Organization
Contact information
Practice address
100 E LANCASTER AVE STE 430, WYNNEWOOD, PA 19096-3426
(610) 645-5755
(610) 566-1744
Mailing address
1019 STANFORD DR, WYNNEWOOD, PA 19096-2031
(610) 645-5755
(610) 645-0264
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD033859E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000 193065510
UNITED HEALTHCARE
PA
01
—
1151931
AETNA HMO
PA
01
—
2632612000
KEYSTONE
PA
Enumeration date
03/06/2008
Last updated
09/13/2020
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