Melendez, Grace

Melendez, Grace is an individual health care provider with primary practice located at 642 Broad St 2Nd Floor, Ste 9, Clifton NJ 07013-1615. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Melendez, Grace can be contacted via phone (973) 614-9500.

Contact Information

Primary practice address
642 Broad St 2Nd Floor, Ste 9 Clifton NJ 07013-1615
Phone: (973) 614-9500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA05874300 New Jersey
Allopathic & Osteopathic Physicians / General Practice 208D00000X 25MA05874300 New Jersey

Profile Details

NPI number 1710971676
LBN Legal business name Melendez, Grace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Apr 6th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710971676 NPPES
New Jersey MEDICAID 5508801

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