Individual
MELISSA C MOL-PELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
32 SEYMOUR ST, HARTFORD, CT 06106-3321
(860) 972-1128
Mailing address
32 SEYMOUR ST, HARTFORD, CT 06106-3321
(860) 972-1128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2647
MA
363AS0400X
Surgical Physician Assistant
Primary
001036
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10036
CONNECTICARE
CT
01
—
290001036CT01
ANTHEM BC/BS
CT
01
—
2V6007
HEALTH NET
CT
01
—
P3511336
OXFORD HEALTH PLANS
CT
01
—
TIN
PIONEER
—
Enumeration date
08/04/2006
Last updated
12/17/2025
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