JUSTIN MELLO

PROVIDENCE, RI
NPI1376926055
Professional NameJUSTIN MELLO
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: RI  PA01914)
Additional Taxonomies363A00000X Physician Assistant
(Licence: CO  PA.0004326)
Enumeration Date2015-06-30
Last Update Date2026-07-29
Business Address
JUSTIN MELLO PA
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4000
Mailing Address
JUSTIN MELLO PA
15 LA SALLE SQ
PROVIDENCE, RI 02903-1814
Phone number: 401-444-6779