Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35050 | NJ |
N | 111NI0900X | Internist | 35050 | NJ |
Y | 207RC0200X | Critical Care Medicine | 35050 | NJ |
N | 207RP1001X | Pulmonary Disease | 35050 | NJ |
NPI | 1033116769 |
---|---|
Provider Name | Dr. Marc Sanford Melamed |
First Address | Midland Park, NJ 07432-1969 |
Second Address | Midland Park, NJ 07432-1959 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 26/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1328808 | (05) | NJ |
156650 | ONE HEALTH (01) | NJ |
1K3902 | HEALTHNET (01) | NJ |
2189501 | AETNA (01) | NJ |
C53402 | (02) | NJ |