Individual
NICOLETTE MELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
147 MILK ST, BOSTON, MA 02109-4806
(617) 654-7200
Mailing address
147 MILK ST, BOSTON, MA 02109-4806
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
09/02/2021
Last updated
03/12/2026
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