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NPI Code Detail

MEDICARE: DR. AURELIA M MELONI-EHRIG PH.D., D.SC.

MEDICARE:  DR. AURELIA M MELONI-EHRIG  PH.D., D.SC.
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
1207SC0300XClinical Cytogenetics PhysicianMELOA1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MELOA1OTHERNYCERTIFICATE QUALIFICATION

General Provider Information

NPI Number : 1942418603
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AURELIA M MELONI-EHRIG PH.D., D.SC.
Provider Business Mailing Address
First Line : 2580 WESTSIDE PKWY
Second Line :
City : ALPHARETTA
State : GA
Zip : 30004-7426
Country : US
Telephone Number : 678-319-3310
Fax Number :
Provider Business Practice Location Address
First Line : 2580 WESTSIDE PKWY
Second Line :
City : ALPHARETTA
State : GA
Zip : 30004-7426
Country : US
Telephone Number : 678-319-3310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 03/28/2015

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