Provider Demographics
NPI:1629342670
Name:MELORO, RALPH THEODORE (RPH, MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:THEODORE
Last Name:MELORO
Suffix:
Gender:M
Credentials:RPH, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 MOUNTVIEW RD
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-3226
Mailing Address - Country:US
Mailing Address - Phone:973-539-2447
Mailing Address - Fax:
Practice Address - Street 1:13 MOUNTVIEW RD
Practice Address - Street 2:
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950-3226
Practice Address - Country:US
Practice Address - Phone:973-539-2447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-07
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440122183500000X
IN26017794183500000X
NJ28RI03036500183500000X
NJ25MA09748100207QA0401X
PAMD456047207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No183500000XPharmacy Service ProvidersPharmacist
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine