Doctor Name: | DR. MARTIN LEONARD MELNICK |
NPI Number: | 1497813661 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 35.100224 |
Business Practice Address: | 4325 Green Rd Highland Hills, OH - 441284884 |
Business Phone Number: | 2164647400 |
Business Fax Number: | |
Mailing Address: | 24758 Meldon Blvd, BEACHWOOD |
State: | OH |
Postal Code: | 441222340 |
Phone Number: | 2162926492 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 35.100224 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |