Individual
MELISSA M DZIEDZIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
230 BOSTON POST RD, MADISON, CT 06443-2225
(203) 245-0496
(203) 245-8697
Mailing address
230 BOSTON POST RD, MADISON, CT 06443-2225
(203) 245-0496
(203) 245-8697
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
001511
CT
363L00000X
Nurse Practitioner
E46742
CT
363LP0200X
Pediatric Nurse Practitioner
001511
CT
363LP0200X
Pediatric Nurse Practitioner
E46742
CT
Other
Enumeration date
04/17/2007
Last updated
06/25/2013
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