Individual
MELISSA MANTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 BROADWAY, SAUGUS, MA 01906-4178
(978) 774-6363
(401) 921-3320
Mailing address
79 SUMMER ST, NATICK, MA 01760-4456
(774) 286-0383
(401) 921-3320
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
300
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598891855
—
MA
Enumeration date
11/20/2014
Last updated
11/20/2014
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