Individual
DR. MELANIE COWAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8200 FLOURTOWN AVE, SUITE 15, WYNDMOOR, PA 19038-7976
(215) 836-2500
(215) 836-2502
Mailing address
8200 FLOURTOWN AVE, SUITE 15, WYNDMOOR, PA 19038-7976
(215) 836-2500
(215) 836-2502
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD030192E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0106544000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
06/06/2006
Last updated
07/08/2007
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