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General NPI Number Information
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NPI Number | 1467544353
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Entity Type | Organization
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Legal Business Name | MELEIS MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 233 MIDDLE RD SUITE 2
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City | HAZLET
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State | NJ
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Zip | 07730-1957
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Country | US
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Telephone | 732-335-0900
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Fax | 732-335-8080
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Provider Business Mailing Address
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Address Line | 233 MIDDLE RD SUITE 2
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City | HAZLET
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State | NJ
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Zip | 07730-1957
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Country | US
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Telephone | 732-335-0900
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Fax | 732-335-8080
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOHAMED MELEIS
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Credential | M.D.
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Telephone | 732-335-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MA56738
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License Number State | NJ
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