Dr. Melodie M Icasiano
Obstetrician & Gynecologist
Madigan Army Medical Center Bldg 9040 Fitzsimmons Dr.
Tacoma
, Washington 98431-0001
Dr. Melodie M Icasiano
Obstetrician & Gynecologist
Madigan Army Medical Center Bldg 9040 Fitzsimmons Dr.
Tacoma
, Washington 98431-0001
(610) 642-7814
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Melodie M Icasiano
- 100 Lancaster Ave Mob East Suite 158
- Wynnewood, PA
- Zip : 19096-3427
- Fax : (610) 642-7814
- Phone : (610) 649-2126
Second Address
- Dr. Melodie M Icasiano
- Madigan Army Medical Center Bldg 9040 Fitzsimmons Dr.
- Tacoma, WA
- Zip : 98431-0001
- Phone : (253) 968-1740
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | MD00042886 | WA |
National Provider Identifier
| NPI | 1003882978 |
|---|---|
| Provider Name | Dr. Melodie M Icasiano |
| First Address | Wynnewood, PA 19096-3427 |
| Second Address | Tacoma, WA 98431-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/02/2006 |
| Last Update Date | 22/04/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.