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Individual

OCTAVIO MELENDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
419 66TH STREET, WEST NEW YORK, NJ 07093
(201) 861-9229
(201) 861-9272
Mailing address
718 TEANECK ROAD, TEANECK, NJ 07666-0000
(201) 833-7265
(201) 227-6207

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
10122
PR
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA08597600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1218
AMERICAN HEALTH INC
01
1604287
ACCA
01
2062
INTERNATIONAL MEDICAL CAR
01
210122
MEDICAL CARD SYSTEM
01
3710122
AUTORIDAD DE ACUEDUCTOS
01
600533
MMM
01
62875
CRUZ AZUL
01
7310178
HUMANA
Enumeration date
11/16/2006
Last updated
03/11/2020
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