NPI 1093726366

Timothy J Mello, PAC

Practitioner Physician Assistant Springfield, VT

Practice location

Address: 29 Ridgewood Rd, Springfield, VT 05156-3050
Phone: (802) 885-6373
Fax: (802) 885-6376

Registered specialties (4)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0550030562 (VT)

Other Physician Assistant providers in Vermont →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0416P (NH)

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 0550030562 (VT)

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 0416P (NH)

Registry record

NPI: 1093726366
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Aug 2006
Record last updated: 28 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.