Individual
EVAN JAMES MELILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34 MAPLE ST, NORWALK, CT 06850-3815
(203) 852-2000
Mailing address
73 SWEET FARM RD, PORTSMOUTH, RI 02871-1238
(401) 529-4121
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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