Individual
MELVYN RANISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
475 CHASE PKWY, WATERBURY, CT 06708-3339
(203) 755-8715
Mailing address
475 CHASE PKWY, WATERBURY, CT 06708-3339
(203) 755-8715
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
016561
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116561200
—
CT
Enumeration date
07/21/2005
Last updated
07/08/2007
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