Individual
STEVEN M MELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135 GOLD STAR BLVD, WORCESTER, MA 01606
(508) 853-2716
(508) 856-9025
Mailing address
630 PLANTATION ST, WORCESTER, MA 01605
(508) 853-2716
(508) 856-9025
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
54442
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
PRIVATE HEALTHCARE SYSTEM
—
01
—
1150172
FIRST HEALTH
—
01
—
1635232
CIGNA HEALTH PLAN
—
01
—
28031
CHILDRENS MEDICAL SECURIT
—
01
—
3100456
MEDICAID WELFARE
—
05
—
3100456
—
MA
01
—
5538230
AETNA US HEALTHCARE
—
01
—
784215
MVP HEALTH CARE
—
01
—
9900044
FALLON COMMUNITY HEALTH P
—
01
—
AA4452
HARVARD PILGRIM HEALTHCAR
—
01
—
J14988
BLUE CARE ELECT
—
Enumeration date
05/23/2006
Last updated
02/18/2009
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