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NPI Code Detail

MEDICARE: DR. MELISSA ANN DOFT M.D.

MEDICARE: DR. MELISSA ANN DOFT 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
1208200000XPlastic Surgery Physician239416NY

General Provider Information

NPI Number : 1700045093
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELISSA ANN DOFT M.D.
Provider Business Mailing Address
First Line : 200 E 72ND ST
Second Line : APARTMENT 31K
City : NEW YORK
State : NY
Zip : 10021-4537
Country : US
Telephone Number : 978-771-5906
Fax Number :
Provider Business Practice Location Address
First Line : 177 FORT WASHINGTON AVE
Second Line : STE 313
City : NEW YORK
State : NY
Zip : 10032-3733
Country : US
Telephone Number : 212-305-3038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2008
Last Update Date : 06/03/2008

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