Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | G16824 | CA |
NPI | 1053399535 |
---|---|
Provider Name | Dr. Melvin Frons Gorelick |
First Address | Monterey, CA 93940-2911 |
Second Address | Monterey, CA 93940-2911 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A39921 | (02) |