Individual
MELINDA J MORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, DIVISION OF GENERAL PEDIATRICS, BOSTON, MA 02115-5724
(401) 573-3633
Mailing address
300 LONGWOOD AVE, DIVISION OF GENERAL PEDIATRICS, BOSTON, MA 02115-5724
(401) 573-3633
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
77909
MA
2080P0203X
Pediatric Critical Care Medicine Physician
09222
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MM27273
—
RI
Enumeration date
06/05/2006
Last updated
05/26/2011
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