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1992700934

NPI Code Detail

MEDICARE: KAREN A. MELLO M.D.

MEDICARE: KAREN A. MELLO M.D.

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	207RI0200X	Infectious Disease Physician	53983	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
13	110214702	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	92-00140	OTHER		EVERCARE
2	0011275	OTHER		NEIGHBORHOOD HEALTH PLAN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	9765855	OTHER		NETWORK HEALTH
5	053983	OTHER	MA	TUFTS HEALTH PLAN
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	A57670	OTHER	NH	ANTHEM BLUE CROSS
8	61903	OTHER	MA	HARVARD PILGRIM HEALTHCAR
9	J04378	OTHER	MD	BLUE CROSS BLUE SHIELD
10	1992700934	OTHER	MA	FALLON COMMUNITY HEALTH PLAN
11	678810	OTHER		HEALTHSOURCE
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	1750172	OTHER		CIGNA HEALTHCARE

General Provider Information

NPI Number	:	1992700934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN A. MELLO M.D.

Provider Business Mailing Address
First Line	:	500 MERRIMACK ST
Second Line	:	RIVERWALK
City	:	LAWRENCE
State	:	MA
Zip	:	01843-1756
Country	:	US
Telephone Number	:	978-557-8900
Fax Number	:	978-557-8859

Provider Business Practice Location Address
First Line	:	500 MERRIMACK ST
Second Line	:	RIVERWALK
City	:	LAWRENCE
State	:	MA
Zip	:	01843-1756
Country	:	US
Telephone Number	:	978-557-8900
Fax Number	:	978-557-8859

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	11/19/2012

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Directions to “ KAREN A. MELLO M.D.” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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