Individual
DAVID S. MELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 N MAIN ST, ENFIELD, CT 06082-3372
(860) 253-9024
(860) 253-9593
Mailing address
575 MAIN STREET 2ND FLOOR, ATTN: CREDENTIALING DEPT, MIDDLETOWN, CT 06457
(860) 347-6971
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
044356
CT
2084P0800X
Psychiatry Physician
MD18160
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001443563
—
CT
05
—
004236338
—
CT
Enumeration date
07/27/2007
Last updated
11/07/2012
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