Individual
DR. BRIAN JAMES MELVILLE
Active
Individual
DR. BRIAN JAMES MELVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
280025-1
NY
207R00000X
Internal Medicine Physician
237230
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168922160
DRIVER LICENSE
CT
Enumeration date
06/30/2008
Last updated
09/13/2016
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