MEDICARE: CURTIS J. MELLO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	MD07880	RI
2	207RP1001X	Pulmonary Disease Physician	79856	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124080312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CURTIS J. MELLO MD

Provider Business Mailing Address
First Line	:	370 FAUNCE CORNER RD
Second Line	:	FL 2
City	:	NORTH DARTMOUTH
State	:	MA
Zip	:	02747-1271
Country	:	US
Telephone Number	:	774-929-9100
Fax Number	:	774-929-6290

Provider Business Practice Location Address
First Line	:	370 FAUNCE CORNER RD
Second Line	:
City	:	NORTH DARTMOUTH
State	:	MA
Zip	:	02747-1271
Country	:	US
Telephone Number	:	508-999-5666
Fax Number	:	508-999-5151

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	08/24/2020

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