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NPI Profile for EVAN J MELILLO in NORWALK, CT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI # | 1750868238 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/26/2018 | |
| Last updated | 07/26/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) |
|
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EVAN J MELILLO
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EVAN J MELILLO