Individual
PETER RICHARD MELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MPAS
Contact information
Practice address
118 DUDLEY ST, PROVIDENCE, RI 02905-2403
(401) 273-4155
(401) 273-4155
Mailing address
7 WOODLAND RD, ROCHESTER, MA 02770-2224
(508) 954-4749
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00628
RI
363AS0400X
Surgical Physician Assistant
PA4326
MA
Other
Enumeration date
02/19/2012
Last updated
02/19/2012
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