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NPI Code Detail

MEDICARE: MAXIM ALEXANDER MELNICHUK

MEDICARE: MAXIM ALEXANDER MELNICHUK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1457283970
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAXIM ALEXANDER MELNICHUK
Provider Business Mailing Address
First Line : 1493 CAMBRIDGE ST
Second Line : MACHT 508
City : CAMBRIDGE
State : MA
Zip : 02139-1099
Country : US
Telephone Number : 617-665-1185
Fax Number :
Provider Business Practice Location Address
First Line : 1493 CAMBRIDGE ST
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02139-1099
Country : US
Telephone Number : 617-665-1185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ MAXIM ALEXANDER MELNICHUK ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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