Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MELROSE BLAKE-BETHEA, DPM
Active Sole ProprietorMELROSE BLAKE-BETHEA, DPM is a Radiology Podiatrist healthcare provider located in IRVINGTON, New Jersey. NPI 1386674273 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · IRVINGTON, NJ
Registration Details
- NPI Number
- 1386674273
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 4, 2006 (20.08831227849 yrs)
- Last Updated
- Jul 8, 2007
- License
-
25MD00228700 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
774 CHANCELLOR AVEIRVINGTON, NJ, 071112955Browse NJ providers · Browse ZIP 07111
- Phone
- 9733755882
- Fax
- 9733717990
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.