Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 14145 | MD |
NPI | 1063604718 |
---|---|
Provider Name | Dr. Judy Yudita Melamed |
First Address | Lutherville, MD 21093-6042 |
Second Address | Lutherville, MD 21093 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2007 |
Last Update Date | 07/08/2018 |