Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 25MA09894600 | NJ |
NPI | 1033400171 |
---|---|
Provider Name | Melinda Brooke Ukrainski |
First Address | Camden, NJ 08103-1088 |
Second Address | Cherry Hill, NJ 08034 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2011 |
Last Update Date | 11/04/2019 |