Provider Demographics
NPI:1841459005
Name:BALDWIN, MELANIE NILUPA (MD)
Entity type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:NILUPA
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:RIDDLE HOSPITAL, HEALTH CENTER 2, SUITE 2500
Mailing Address - Street 2:1088 WEST BALTIMORE PIKE
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063
Mailing Address - Country:US
Mailing Address - Phone:842-272-5014
Mailing Address - Fax:
Practice Address - Street 1:82-68 164TH ST QUEENS HOSPITAL CENTER
Practice Address - Street 2:DEPARTMENT OF CARDIOLOGY, OFFICE B-126
Practice Address - City:QUEENS
Practice Address - State:NY
Practice Address - Zip Code:11432
Practice Address - Country:US
Practice Address - Phone:646-637-5599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY247628207R00000X
PAMD437851207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1023817780001Medicaid
NJ0211559Medicaid
PA167120PAGMedicare PIN