| Doctor Name: | DR. MELVIN J MANCINI |
| NPI Number: | 1023132099 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | DPM00204 |
| Business Practice Address: | 345 Armistice Blvd Pawtucket, RI - 028612429 |
| Business Phone Number: | 4017255576 |
| Business Fax Number: | 4017252640 |
| Mailing Address: | 345 Armistice Blvd, PAWTUCKET |
| State: | RI |
| Postal Code: | 028612429 |
| Phone Number: | 4017255576 |
| Fax Number: | 4017252640 |
| NPI Enumeration Date: | 03/16/2007 |
| NPI Last Update Date: | 05/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | DPM00204 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |