Healthcare Provider Details

I. General information

NPI: 1366070500
Provider Name (Legal Business Name): MELISSA RIEGEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4755 OGLETOWN STANTON RD STE 1900
NEWARK DE
19718-4238
US

IV. Provider business mailing address

4755 OGLETOWN STANTON RD STE 1900
NEWARK DE
19718-2200
US

V. Phone/Fax

Practice location:
  • Phone: 908-723-5592
  • Fax:
Mailing address:
  • Phone: 302-733-6510
  • Fax: 302-733-3340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberMD483323
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberC1-0027294
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: