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Contact Information

TIMOTHY J MELLO, PA-C
29 RIDGEWOOD RD
SPRINGFIELD, VT05156-3050
 Phone: 802-885-6373
 Fax: 802-885-6376
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TIMOTHY J MELLO · (Male)

NPI # 1093726366
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/11/2006
Last updated 02/28/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NH License # 0416P
  • VT License # 0550030562
  • NH Medicaid 30334363
  • VT Medicaid VN1017
  • Other 228223 CIGNA
  • Other 341729 MVP
  • VT Other 58641 BLUECROSS
Hospital affiliation(s)
  • SPRINGFIELD HOSPITAL - (Critical Access)
    PO BOX 2003
    SPRINGFIELD, VT 05156
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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