Individual
MRS. MELISSA C LEE ADIGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
110 LIBERTY ST, BROCKTON, MA 02301
(508) 894-0400
Mailing address
588 E 92ND ST, BROOKLYN, NY 11236-1027
(718) 300-4544
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015335
NY
Other
Enumeration date
12/08/2011
Last updated
05/21/2018
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