Individual
DR. GRACE MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
642 BROAD ST, 2ND FLOOR, STE 9, CLIFTON, NJ 07013-1615
(973) 614-9500
Mailing address
642 BROAD ST, 2ND FLOOR, STE 9, CLIFTON, NJ 07013-1615
(973) 614-9500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA05874300
NJ
208D00000X
General Practice Physician
Primary
25MA05874300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5508801
—
NJ
Enumeration date
09/07/2005
Last updated
04/06/2009
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