Provider Demographics
NPI:1568139053
Name:MELOCHE, MADELINE (EPC)
Entity Type:Individual
Prefix:
First Name:MADELINE
Middle Name:
Last Name:MELOCHE
Suffix:
Gender:F
Credentials:EPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 KINGSWOOD CT
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-1333
Mailing Address - Country:US
Mailing Address - Phone:856-291-1411
Mailing Address - Fax:
Practice Address - Street 1:119 KINGSWOOD CT
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-1333
Practice Address - Country:US
Practice Address - Phone:856-291-1411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program