Provider Demographics
NPI:1356606347
Name:SHINDER, MELISSA D (DPM)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:D
Last Name:SHINDER
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Gender:F
Credentials:DPM
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Mailing Address - Street 1:8001 ROOSEVELT BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-3038
Mailing Address - Country:US
Mailing Address - Phone:215-332-5300
Mailing Address - Fax:215-332-5228
Practice Address - Street 1:210 ARK RD
Practice Address - Street 2:SUITE 214
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-3188
Practice Address - Country:US
Practice Address - Phone:856-234-0195
Practice Address - Fax:856-234-8591
Is Sole Proprietor?:No
Enumeration Date:2012-07-06
Last Update Date:2016-02-03
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Provider Licenses
StateLicense IDTaxonomies
PASC006411213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine