Individual
VICTOR G MELLUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 KINGS HWY S, CHERRY HILL, NJ 08034-2506
(856) 429-9009
(856) 429-8400
Mailing address
200 KINGS HWY S, CHERRY HILL, NJ 08034-2506
(856) 429-9009
(856) 429-8400
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA04514400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1664905
—
NJ
Enumeration date
07/03/2006
Last updated
07/08/2010
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