Individual
MARK MELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 SEMINARY AVE, AUBURNDALE, MA 02466-2650
(617) 663-7000
Mailing address
351 HANCOCK ST, TIVERTON, RI 02878-2357
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4081
MA
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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