| Doctor Name: | DR. JOEL ROBERT MELAMED |
| NPI Number: | 1215153267 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 028594 |
| Business Practice Address: | 1461 South Britain Rd Health Care Unit Southbury, CT - 064880901 |
| Business Phone Number: | 2035862000 |
| Business Fax Number: | 2035862701 |
| Mailing Address: | Po Box 89, 6 Preston Lane TACONIC |
| State: | CT |
| Postal Code: | 060790089 |
| Phone Number: | 8604359413 |
| Fax Number: | 8604352497 |
| NPI Enumeration Date: | 04/18/2007 |
| NPI Last Update Date: | 03/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 028594 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |