Individual
MATTHEW MELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 415-8842
Mailing address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 415-8842
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00678
RI
363A00000X
Physician Assistant
PA4383
MA
Other
Enumeration date
05/09/2012
Last updated
09/27/2023
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