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Individual
DR. NICK C. MELLOS
Active
Individual
DR. NICK C. MELLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
041608
CT
2084P0800X
Psychiatry Physician
Primary
C129192
CA
2084P0802X
Addiction Psychiatry Physician
041608C
CT
2084P0802X
Addiction Psychiatry Physician
C129192
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004039244
—
CT
Enumeration date
07/05/2006
Last updated
08/25/2021
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