Organization
BRIAN C MELLEY, D.P.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN CHRISTOPHER MELLEY D.P.M. (OWNER)
(215) 549-1151
Entity
Organization
Contact information
Practice address
6424 N 5TH ST, PHILADELPHIA, PA 19126-3838
(215) 549-1151
(215) 549-0890
Mailing address
6424 N 5TH ST, PHILADELPHIA, PA 19126-3838
(215) 549-1151
(215) 549-0890
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003685L
PA
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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