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Organization

JAMES W MELISI M.D., F.A.C.S., PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES W MELISI M.D., F.A.C.S. (OWNER)
(703) 208-0820
Entity
Organization

Contact information

Practice address
8316 ARLINGTON BLVD, SUITE 640, FAIRFAX, VA 22031-5207
(703) 208-0820
Mailing address
8316 ARLINGTON BLVD, SUITE 640, FAIRFAX, VA 22031-5207
(703) 208-0820

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101048997
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
179429
ANTHEM BCBS
VA
01
265302
ANTHEM BCBS
VA
01
6005
BCBS NCA
DC
Enumeration date
11/22/2006
Last updated
02/12/2008
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