Individual
DR. GISELA MELCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7890
Mailing address
1908 RODMAN ST APT B, PHILADELPHIA, PA 19146-1417
(215) 546-2279
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT187220
PA
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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