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Individual

JOSEPH KEITH MELANCON

Active
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Individual

JOSEPH KEITH MELANCON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
270515
NY
204F00000X
Transplant Surgery Physician
D62233
MD
204F00000X
Transplant Surgery Physician
Primary
MD037319
DC
208600000X
Surgery Physician
270515
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03687809
NY
05
405991300
MD
01
P00894808
RAILROAD MEDICARE
DC
Enumeration date
05/10/2006
Last updated
02/02/2021
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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