Individual
DR. MELANIE ANN MEDRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
307 YORK ST, SECOND FLOOR, JERSEY CITY, NJ 07302-5003
(201) 369-9757
Mailing address
307 YORK ST, SECOND FLOOR, JERSEY CITY, NJ 07302-5003
(201) 369-9757
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI02000400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7319002
—
NJ
Enumeration date
11/20/2006
Last updated
07/08/2007
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