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Individual
DR. ROBERT C MELLORS JR.
Active
Individual
DR. ROBERT C MELLORS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39582
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019261
NEIGHBORHOOD HLTH PLAN
MA
05
—
0195332
—
MA
01
—
042297845
HCVM
MA
01
—
45684
FALLON
MA
01
—
61736
HVD PILGRIM HEALTH CARE
MA
01
—
700417
TUFTS
MA
01
—
7613316
AETNA
MA
01
—
B10182101
CIGNA INT
MA
01
—
B10182106
CIGNA
MA
01
—
C04862
BCBS
MA
Enumeration date
11/03/2005
Last updated
12/21/2015
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