Provider Demographics
NPI:1982696852
Name:FRIES, MELISSA HOWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:HOWARD
Last Name:FRIES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:14512 KINGS GRANT ST
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2570
Mailing Address - Country:US
Mailing Address - Phone:301-610-6651
Mailing Address - Fax:301-295-0764
Practice Address - Street 1:106 IRVING ST NW STE 3800
Practice Address - Street 2:DEPT. OF OB/GYN
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2967
Practice Address - Country:US
Practice Address - Phone:202-877-6093
Practice Address - Fax:202-877-8695
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2011-05-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0059954207SG0201X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC185372YT2Medicare PIN
DC185372ZACMedicare PIN