Healthcare Provider Details

I. General information

NPI: 1316980550
Provider Name (Legal Business Name): MELVIN L. MASLOFF M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2835 S DELSEA DR SUITE D
VINELAND NJ
08360-7079
US

IV. Provider business mailing address

2835 S DELSEA DR SUITE D
VINELAND NJ
08360-7079
US

V. Phone/Fax

Practice location:
  • Phone: 856-205-0800
  • Fax: 856-205-0024
Mailing address:
  • Phone: 856-205-0800
  • Fax: 856-205-0024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number25MA03230100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: