Provider Demographics
NPI:1609833672
Name:MELINCOFF, RONALD H (DPM)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:H
Last Name:MELINCOFF
Suffix:
Gender:M
Credentials:DPM
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1450 E BOOT RD
Mailing Address - Street 2:SUITE 200-B
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-5300
Mailing Address - Country:US
Mailing Address - Phone:610-692-0578
Mailing Address - Fax:610-692-6852
Practice Address - Street 1:1450 E BOOT RD
Practice Address - Street 2:SUITE 200-B
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-5300
Practice Address - Country:US
Practice Address - Phone:610-692-0578
Practice Address - Fax:610-692-6852
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASC2064L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA098423Medicare UPIN