Individual provider · Type 1 NPI

Evan James Melillo

Surgical Physician Assistant · Norwalk, CT

NPI number 1750868238 Active

Practice location

34 Maple St
Norwalk, CT 06850-3815

Call (203) 852-2000 Map

Mailing address

73 Sweet Farm Rd
Portsmouth, RI 02871-1238

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1750868238

Evan James Melillo's National Provider Identifier is 1750868238, issued on Jul 26, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Norwalk, CT. The record was last updated on Jul 26, 2018.