MEDICARE: MELROSE MEDICAL ASSOCIATES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician
3	207RE0101X	Endocrinology, Diabetes & Metabolism Physician

General Provider Information

NPI Number	:	1417063249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MELROSE MEDICAL ASSOCIATES PC

Provider Business Mailing Address
First Line	:	921 W CHELTENHAM AVENUE
Second Line	:
City	:	MELROSE PARK
State	:	PA
Zip	:	19027
Country	:	US
Telephone Number	:	215-635-4902
Fax Number	:	215-635-2565

Provider Business Practice Location Address
First Line	:	921 W CHELTENHAM AVENUE
Second Line	:
City	:	MELROSE PARK
State	:	PA
Zip	:	19027
Country	:	US
Telephone Number	:	215-635-4902
Fax Number	:	215-635-2565

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. MICHAEL COOPERMAN
Credential	:	MD
Telephone Number	:	215-635-4902

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	09/11/2025

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