Individual
LARRY B MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
94 OLD SHORT HILLS RD STE 305, LIVINGSTON, NJ 07039-5672
(973) 322-5065
Mailing address
379 CAMPUS DR, FL 4 CREDENTIALING, SOMERSET, NJ 08873-1161
(732) 418-8372
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA09809200
NJ
207RN0300X
Nephrology Physician
MD25258
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122724103
—
TX
05
—
88182053
—
NM
05
—
9000201221
—
CO
Enumeration date
04/26/2006
Last updated
04/03/2025
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