Provider Demographics
NPI:1437294352
Name:LABROLI, MELISSA DOYLE (MD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:DOYLE
Last Name:LABROLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:402 LIPPINCOTT DR
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4112
Mailing Address - Country:US
Mailing Address - Phone:856-782-3300
Mailing Address - Fax:856-504-8029
Practice Address - Street 1:693 MAIN ST BLDG 3
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-5043
Practice Address - Country:US
Practice Address - Phone:609-261-4058
Practice Address - Fax:609-261-8381
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2011-05-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08251500208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
077356 SK3Medicare PIN