Individual
EDWARD PHILIP MELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
921 BERGEN AVE, SUITE # 629, JERSEY CITY, NJ 07306-4203
(201) 659-2986
(201) 217-1226
Mailing address
921 BERGEN AVE, SUITE # 629, JERSEY CITY, NJ 07306-4203
(201) 659-2986
(201) 217-1226
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD002458
NJ
213E00000X
Podiatrist
N005344
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03180
GHI MEDICARE
NY
01
—
046801
EMPIRE MEDICARE
NJ
05
—
8473005
—
NJ
Enumeration date
10/06/2005
Last updated
07/09/2007
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