Individual
DR. DANIELLE NICOLE MELISIOTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1178
(215) 762-7000
Mailing address
2303 MADISON SQ, PHILADELPHIA, PA 19146-1712
(215) 807-9282
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OT019655
PA
Other
Enumeration date
07/06/2019
Last updated
07/06/2019
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