Provider Demographics
NPI:1043580491
Name:MELHORN, NOEL L (DO)
Entity type:Individual
Prefix:DR
First Name:NOEL
Middle Name:L
Last Name:MELHORN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 HILLSBORO MILLS LN
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19086-6784
Mailing Address - Country:US
Mailing Address - Phone:610-283-0519
Mailing Address - Fax:
Practice Address - Street 1:202 HILLSBORO MILLS LN
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:PA
Practice Address - Zip Code:19086-6784
Practice Address - Country:US
Practice Address - Phone:610-283-0519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS002565L2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology