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General NPI Number Information
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NPI Number | 1669585170
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Entity Type | Individual
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Provider Name | MELANIE A LYNCH MD
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Gender | Female
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 5520 PARK AVE STE 1-500
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City | TRUMBULL
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State | CT
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Zip | 06611-3463
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Country | US
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Telephone | 203-254-2381
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Fax | 203-337-8788
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Provider Business Mailing Address
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Address Line | 5520 PARK AVE STE 1-500
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City | TRUMBULL
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State | CT
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Zip | 06611-3463
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Country | US
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Telephone | 203-254-3070
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Fax | 203-337-8790
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 67122
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35-083052
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License Number State | OH
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