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1720052178
MICHAEL GEORGE MELLIS
RESTON, VA
NPI
1720052178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: VA 0101042579)
Enumeration Date
2006-02-14
Last Update Date
2010-01-09
Business Address
-- MICHAEL GEORGE MELLIS MD
1860 TOWN CENTER DR SUITE 225
RESTON, VA 20190-5896
Phone number: 703-483-3610
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Mailing Address
-- MICHAEL GEORGE MELLIS MD
PO BOX 17334
BALTIMORE, MD 21297-1334
Phone number: 703-443-6717
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