Most Relevant Information
Provider Data
NPI Number: | 1003176850 |
Provider Name: | ANNA GREENE MELLINGER O.D. |
Entity Type: | Individual |
Taxonomy Code: | 152W00000X |
Specialty: | Optometrist |
License Number: | 27OA00638300 |
Most Important Dates
Enumeration Date: | 05/25/2012 |
Last Updated: | 05/25/2012 |
Provider Practice Location
123 E LAUREL RD
STRATFORD
NJ
080841324
Practice Location Phone/Fax
Phone: | 8567840936 |
Fax: |
Provider Mailing Location
4247 LOCUST ST
APT 826
PHILADELPHIA
PA
191045252
Provider Mailing Phone/Fax
Phone: | 9194170863 |
Fax: |