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NPI Code Detail

MEDICARE: MRS. LYNN MARIE MELCHIONDA MSPT, DPT

MEDICARE: MRS. LYNN MARIE MELCHIONDA MSPT, DPT
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
1225100000XPhysical Therapist40QA01019900NJ

General Provider Information

NPI Number : 1114121548
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LYNN MARIE MELCHIONDA MSPT, DPT
Provider Business Mailing Address
First Line : 612 SPRINGHOUSE DR
Second Line :
City : WHITEHOUSE STATION
State : NJ
Zip : 08889-3219
Country : US
Telephone Number : 908-534-6341
Fax Number :
Provider Business Practice Location Address
First Line : 100 HOLLINSHEAD SPRING RD
Second Line :
City : SKILLMAN
State : NJ
Zip : 08558-2028
Country : US
Telephone Number : 609-759-3656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2007
Last Update Date : 07/08/2007

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