Dean P. Mellas, P.A.-C
Physician Assistant, Medical in Franklin Lakes, NJ. Individual provider (NPI-1).
NPI number1730278573
StatusActive
Last updated in NPPESMay 4, 2015
Details
- NPI
- 1730278573
- Entity type
- Individual (NPI-1)
- Name
- Mr. Dean P. Mellas
- Credential
- P.A.-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2006
- Last updated
- May 4, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 25MP00099400 | NJ | Yes |
| 363AS0400X | Physician Assistant, Surgical | 25MP00099400 | NJ |
Practice location
784 Franklin AveSuite 250
Franklin Lakes, NJ 07417-1306
Phone 201-560-0711 · Fax 201-560-0712
Mailing address
784 Franklin AveSuite 250
Franklin Lakes, NJ 07417-1306
Phone 201-560-0711 · Fax 201-560-0712
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