Doctor Name: | DR. MELVYN J RAVITZ |
NPI Number: | 1811910599 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 25MA03064000 |
Business Practice Address: | 2671 Highway 70 Suite B Manasquan, NJ - 087362605 |
Business Phone Number: | 7325286497 |
Business Fax Number: | 7325281363 |
Mailing Address: | 2671 Highway 70, Suite B MANASQUAN |
State: | NJ |
Postal Code: | 087362605 |
Phone Number: | 7325286497 |
Fax Number: | 7325281363 |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25MA03064000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |