Individual
DR. BERHANU GOSSAYE MELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6000
Mailing address
5 RALEIGH WAY, FREEHOLD, NJ 07728-7905
(617) 309-9648
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA09377000
NJ
207R00000X
Internal Medicine Physician
35096084
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/22/2008
Last updated
05/21/2021
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