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NPI Code Detail

MEDICARE: DR. MELISSA NEUWELT M.D.

MEDICARE:  DR. MELISSA  NEUWELT  M.D.
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
1207W00000XOphthalmology Physician4301095931MI
2207W00000XOphthalmology PhysicianMD445912PA
3207W00000XOphthalmology PhysicianC150163CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
223-2413259OTHERPAGROUP TAX ID #
31861435174OTHERPAGROUP NPI
41205878915OTHERPAGROUP NPI
520-0300649OTHERPAGROUP TAX ID

General Provider Information

NPI Number : 1093917247
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELISSA NEUWELT M.D.
Provider Business Mailing Address
First Line : 400 PARNASSUS ST, 7TH FLOOR
Second Line : BOX 0344
City : SAN FRANCISCO
State : CA
Zip : 94122-2534
Country : US
Telephone Number : 570-628-4444
Fax Number : 570-628-3088
Provider Business Practice Location Address
First Line : 3100 SAN PABLO AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94702-2498
Country : US
Telephone Number : 510-985-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2007
Last Update Date : 01/06/2023

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Directions to “ DR. MELISSA NEUWELT M.D.” Practice Location

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