Individual
MELISSA L DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1040 REED AVE, SUITE 4, WYOMISSING, PA 19610-2029
(610) 898-7560
(610) 898-7561
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD446045
PA
207V00000X
Obstetrics & Gynecology Physician
MT193873
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102731419
—
PA
Enumeration date
08/12/2008
Last updated
11/26/2018
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