Individual
MRS. SUSAN EVANS MELAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1719
(215) 590-2950
Mailing address
34TH ST. & CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104-4399
(215) 590-1719
(215) 590-2950
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP001726D
PA
Other
Enumeration date
05/18/2007
Last updated
05/03/2019
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