Individual
MELISSA TODICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 737-6483
(203) 737-6683
Mailing address
15 BIRCH ST APT 2, SHELTON, CT 06484-3930
(203) 395-3639
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12.009101
CT
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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