Melissa Poland
Specialist, Prosthetics Case Management in Philadelphia, PA. Individual provider (NPI-1).
NPI number1760830004
StatusActive
Last updated in NPPESJan 7, 2024
Details
- NPI
- 1760830004
- Entity type
- Individual (NPI-1)
- Name
- Ms. Melissa Poland
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 26, 2016
- Certification date
- Jan 7, 2024
- Last updated
- Jan 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1744P3200X | Specialist, Prosthetics Case Management | 846916 | PA | Yes |
Practice location
713 S Juniper StApt B
Philadelphia, PA 19147-2607
Phone 267-423-1122
Mailing address
119 Edgar AveAston, PA 19014-2703
Phone 267-854-1096
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