Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD029708E | PA |
NPI | 1073541371 |
---|---|
Provider Name | Dr. Howard Berman Melnick |
First Address | Lebanon, PA 17042-7487 |
Second Address | Lebanon, PA 17042-7487 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1083920 | (05) | PA |
B36589 | (02) | PA |