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NPI Code Detail

MEDICARE: ANDREW R. MELNYK M.D.

MEDICARE: ANDREW R. MELNYK 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
1207SG0201XClinical Genetics (M.D.) PhysicianMD489581CPA
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician036055542IL
3208000000XPediatrics PhysicianMD489581CPA

General Provider Information

NPI Number : 1861486136
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW R. MELNYK M.D.
Provider Business Mailing Address
First Line : PO BOX 13579
Second Line :
City : READING
State : PA
Zip : 19612-3579
Country : US
Telephone Number : 846-281-3244
Fax Number :
Provider Business Practice Location Address
First Line : 160 E ERIE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19134-1011
Country : US
Telephone Number : 215-427-4067
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2005
Last Update Date : 07/24/2025

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