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Individual

ANNA-MARIE L MELCHREIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
495 GOLD STAR HWY, SUITE 120, GROTON, CT 06340-6228
(860) 449-8882
(869) 449-9195
Mailing address
495 GOLD STAR HWY, SUITE 120, GROTON, CT 06340-6228
(860) 449-8882
(869) 449-9195

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
030633
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001306332
CT
01
010030633CT01
BLUE CROSS BLUE SHIELD
01
030091
HEALTH NET
01
2935675-002
CIGNA
01
5769094
AETNA
01
759963
CONNECTICARE
01
NLP062
OXFORD
Enumeration date
11/13/2006
Last updated
07/08/2007
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