Individual
DR. JOSE MANUEL MELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 BROOKLINE AVE DA 501, EAST CAMPUS, BETH ISRAEL DEACONESS MEDICAL CENTER, BOSTON, MA 02215-5403
(617) 667-8424
(617) 667-8144
Mailing address
400 BROOKLINE AVE APT 22B, BOSTON, MA 02215-5409
(857) 210-7652
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
251146
MA
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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