Individual
DR. ELLIOT MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
282 WASHINGTON STREET, PEDIATRIC INTENSIVE CARE UNIT, HARTFORD, CT 06106
(860) 837-5455
(727) 767-4970
Mailing address
282 WASHINGTON STREET, PEDIATRIC INTENSIVE CARE UNIT, HARTFORD, CT 06106
(860) 837-5455
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
128818
FL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
66876
CT
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
128818
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0186244
—
MA
01
—
1203129
UNITED-PBC
MA
01
—
204942
TUFTS
MA
01
—
3019208
AETNA
MA
01
—
66876
MEDICAL LICENSE
CT
01
—
7514946
CIGNA-PAL
MA
01
—
J25605
BCBS
MA
Enumeration date
09/23/2005
Last updated
02/05/2024
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