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Individual

GEORGE A. MELONE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3235 MILL VISTA RD, HIGHLANDS RANCH, CO 80129-2440
(303) 876-8320
Mailing address
5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 21228-1762
(410) 402-2379

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
32793
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0061314
CO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
58590
BLUECROSS BLUESHIELD
NC
05
7958590
NC
Enumeration date
02/23/2006
Last updated
06/15/2022
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