Provider Demographics
NPI:1861119810
Name:THE OFFICES OF DR PAUL MELCHIORRE PLLC
Entity type:Organization
Organization Name:THE OFFICES OF DR PAUL MELCHIORRE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:MELCHIORRE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-420-9469
Mailing Address - Street 1:249 PERUVIAN AVE STE R2
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33480-6036
Mailing Address - Country:US
Mailing Address - Phone:561-655-0666
Mailing Address - Fax:
Practice Address - Street 1:249 PERUVIAN AVE STE R2
Practice Address - Street 2:
Practice Address - City:PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480-6036
Practice Address - Country:US
Practice Address - Phone:561-655-0666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental