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NPI Code Detail

MEDICARE: DR. MARTIN LEONARD MELNICK M.D.

MEDICARE:  DR. MARTIN LEONARD MELNICK  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
1207QA0505XAdult Medicine Physician35.100224OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497813661
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARTIN LEONARD MELNICK M.D.
Provider Business Mailing Address
First Line : 24758 MELDON BLVD
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-2340
Country : US
Telephone Number : 216-292-6492
Fax Number :
Provider Business Practice Location Address
First Line : 4325 GREEN RD
Second Line :
City : HIGHLAND HILLS
State : OH
Zip : 44128-4884
Country : US
Telephone Number : 216-464-7400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MARTIN LEONARD MELNICK M.D.” Practice Location

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