Individual
MEI L MELLOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 GROSSMAN DR FL 9, BRAINTREE, MA 02184-4997
(781) 849-2295
Mailing address
111 GROSSMAN DR, BRAINTREE, MA 02184-4997
(781) 849-2295
(781) 849-2514
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
160872
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3201856
—
MA
Enumeration date
05/31/2006
Last updated
03/05/2021
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