Provider Demographics
NPI:1972517555
Name:MELI, JOSEPH J (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:J
Last Name:MELI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3600 W MARKET ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-4540
Mailing Address - Country:US
Mailing Address - Phone:330-666-2700
Mailing Address - Fax:330-666-0500
Practice Address - Street 1:3600 W MARKET ST
Practice Address - Street 2:SUITE 200
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-4540
Practice Address - Country:US
Practice Address - Phone:330-666-2700
Practice Address - Fax:330-666-0500
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2015-11-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35037941207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9338635OtherPARTNERS PHYSICIAN GROUP PTAN
OH1841239274OtherPARTNERS PHYSICIAN GROUP NPI #
OH2551671OtherPARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH0301935Medicaid
OH0301935Medicaid
OH0425774Medicare PIN