Provider Demographics
NPI:1366735367
Name:CALDER, MELISSA J (DO)
Entity type:Individual
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First Name:MELISSA
Middle Name:J
Last Name:CALDER
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Gender:F
Credentials:DO
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Mailing Address - Street 1:100 LANCASTER AVENUE
Mailing Address - Street 2:MEDICAL BUILDING WEST SUITE 230
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-3450
Mailing Address - Country:US
Mailing Address - Phone:610-642-3756
Mailing Address - Fax:610-641-2945
Practice Address - Street 1:255 LANCASTER AVENUE
Practice Address - Street 2:MOBII SUITE 124
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1763
Practice Address - Country:US
Practice Address - Phone:610-648-0553
Practice Address - Fax:610-640-1350
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2019-08-22
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Provider Licenses
StateLicense IDTaxonomies
PAOS018615207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1033129260001Medicaid