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NPI Code Detail

MEDICARE: MELISSA JEAN OIKLE PA-C

MEDICARE: MELISSA JEAN OIKLE PA-C
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
1363A00000XPhysician Assistant1526MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
167870OTHERMAFALLON HEALTH PLAN

General Provider Information

NPI Number : 1174619472
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA JEAN OIKLE PA-C
Provider Business Mailing Address
First Line : 9 INDUSTRIAL RD STE 5
Second Line :
City : MILFORD
State : MA
Zip : 01757-3736
Country : US
Telephone Number : 508-473-1480
Fax Number : 508-473-2709
Provider Business Practice Location Address
First Line : 100 COMMERCE DR
Second Line :
City : NORTHBRIDGE
State : MA
Zip : 01534-1415
Country : US
Telephone Number : 508-528-2700
Fax Number : 508-528-5759
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 03/09/2020

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Directions to “ MELISSA JEAN OIKLE PA-C” Practice Location

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