Provider Demographics
NPI:1760657860
Name:DALUVOY, MELISSA B (MD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:B
Last Name:DALUVOY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MELISSA
Other - Middle Name:B
Other - Last Name:MONCAVAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2351 ERWIN RD
Mailing Address - Street 2:DUMC BOX 3802
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4699
Mailing Address - Country:US
Mailing Address - Phone:919-684-6362
Mailing Address - Fax:919-681-7661
Practice Address - Street 1:2351 ERWIN RD
Practice Address - Street 2:DUMC BOX 3802
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4699
Practice Address - Country:US
Practice Address - Phone:919-684-6362
Practice Address - Fax:919-681-7661
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC390200000X207W00000X
NCNC 2011-01258207W00000X
PA436555207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology