Healthcare Provider Details

I. General information

NPI: 1982193587
Provider Name (Legal Business Name): MELANIE LAUREN PASCAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2018
Last Update Date: 11/04/2026
Certification Date: 11/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 WHITNEY AVE STE 360
HAMDEN CT
06518-3602
US

IV. Provider business mailing address

2200 WHITNEY AVE STE 360
HAMDEN CT
06518-3602
US

V. Phone/Fax

Practice location:
  • Phone: 203-281-4463
  • Fax: 203-287-2930
Mailing address:
  • Phone: 203-281-4463
  • Fax: 203-287-2930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number84080
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number33035
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: