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Individual

MELANIE CLAIRE DISPENZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D, PH.D.

Contact information

Practice address
5501 HOPKINS BAYVIEW CIR, BALTIMORE, MD 21224
(410) 550-2300
(410) 550-3256
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036140029
IL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
036140029
IL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
D87781
MD
390200000X
Student in an Organized Health Care Education/Training Program
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036140029
MEDICAL LICENSE
IL
Enumeration date
04/02/2013
Last updated
08/14/2019
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