Doctor Name: | MELISSA MECKA |
NPI Number: | 1043487713 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 26NN11066900 |
Business Practice Address: | 1945 Route 33 Neptune, NJ - 077534859 |
Business Phone Number: | 7322028074 |
Business Fax Number: | |
Mailing Address: | 3700 Route 33, Suite C NEPTUNE |
State: | NJ |
Postal Code: | 077533206 |
Phone Number: | 7322028074 |
Fax Number: | |
NPI Enumeration Date: | 05/13/2008 |
NPI Last Update Date: | 03/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NN11066900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |