Individual
MELANIE ANN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3242 ROUTE 206 STE A2, BORDENTOWN, NJ 08505-4517
(609) 298-4340
(609) 298-4370
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB07322800
NJ
207Q00000X
Family Medicine Physician
OS013108
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101692254
—
PA
01
—
11316
BRAVO HEALTH
PA
01
—
1625078
HIGHMARK BLUE SHIELD
PA
01
—
2301780000
INDEPENDENCE BLUE CROSS
PA
01
—
30021765
KEYSTONE MERCY HEALTH
PA
01
—
3689108
AETNA HMO
PA
01
—
3Y7157
HEALTH NET
PA
01
—
450480
COVENTRY HEALTH AMERICA
PA
01
—
7884513
AETNA PPO
PA
01
—
P00258118
RAIL ROAD MEDICARE
PA
Enumeration date
12/15/2005
Last updated
06/01/2021
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