| NPI | 1578549010 |
|---|---|
| Former Name | MELINDA S. SHADOWITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 251720) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35070556) |
| 207Q00000X Family Medicine (Licence: ME 017423) | |
| 207R00000X Internal Medicine (Licence: CT 64731) | |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2020-01-31 |