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Individual

DR. LORA MARIE MELMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
49 VERONICA AVE, SOMERSET, NJ 08873-6802
(732) 640-5316
Mailing address
49 VERONICA AVE, SOMERSET, NJ 08873-6802
(732) 640-5316

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA09808400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-36456
MEDICAL LICENSE
KS
01
053030
MEDICAL LICENSE
CT
01
2007013164
MO LICENSE
MO
01
25MA09808400
MEDICAL LICENSE
NJ
Enumeration date
03/27/2007
Last updated
12/14/2015
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