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1770597403
MICHAEL MELLO
PROVIDENCE, RI
NPI
1770597403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: RI MD07284)
Enumeration Date
2006-07-28
Last Update Date
2013-09-17
Business Address
-- MICHAEL MELLO MD
164 SUMMIT AVE
PROVIDENCE, RI 02906-2853
Phone number: 401-854-2504
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Mailing Address
-- MICHAEL MELLO MD
PO BOX 9484
PROVIDENCE, RI 02940-9484
Phone number: 401-854-2500
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