PETER RICHARD MELLO

PROVIDENCE, RI
NPI1316210545
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: RI  PA00628)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
(Licence: MA  PA4326)
Enumeration Date2012-02-19
Last Update Date2012-02-19
Business Address
-- PETER RICHARD MELLO PA-C, MPAS
118 DUDLEY ST
PROVIDENCE, RI 02905-2403
Phone number: 401-273-4155
Mailing Address
-- PETER RICHARD MELLO PA-C, MPAS
7 WOODLAND RD
ROCHESTER, MA 02770-2224
Phone number: 508-954-4749