Individual
DR. ALEXANDER MELAMUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8270 WILLOW OAKS CORPORATE DR FL 6, FAIRFAX, VA 22031-4530
(703) 698-9335
(703) 207-0038
Mailing address
420 MOUNTAIN AVE FL 4, NEW PROVIDENCE, NJ 07974-2736
(908) 458-8333
(908) 357-1191
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101241613
VA
207W00000X
Ophthalmology Physician
D0065744
DC
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
0101241613
VA
207WX0107X
Retina Specialist (Ophthalmology) Physician
D0065744
MD
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD036660
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015406701
—
MD
05
—
039351700
—
DC
05
—
1669573788
—
VA
Enumeration date
09/25/2006
Last updated
11/14/2024
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