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NPI Code Detail

MEDICARE: PAUL JOSEPH MELLUZZO M.D.

MEDICARE: PAUL JOSEPH MELLUZZO 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
1208600000XSurgery PhysicianMD5806DC

General Provider Information

NPI Number : 1952586299
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL JOSEPH MELLUZZO M.D.
Provider Business Mailing Address
First Line : 1618 MONROE ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-1804
Country : US
Telephone Number : 202-939-2442
Fax Number :
Provider Business Practice Location Address
First Line : 1618 MONROE ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-1804
Country : US
Telephone Number : 202-939-2442
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2008
Last Update Date : 01/06/2008

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