SURESH DMELLO

NORTHEAST MEDICAL GROUP INC

Dr SURESH DMELLO is a male medical professional, specializing in Family Medicine. He graduated in 1978.

Contact

NORTHEAST MEDICAL GROUP INC

19 HALLS RD
OLD LYME
CT
063711457

Tel: 8604348300

SURESH DMELLO Information

Npi 1144387838
Pac Id 8921134461
Professional Enrollment Id I20100410000109
Last Name DMELLO
First Name SURESH
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1978
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NORTHEAST MEDICAL GROUP INC
Group Practice Pac Id 1254233836
Number Of Group Practice Members 1042
Line 1 Street Address 19 HALLS RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City OLD LYME
State CT
Zip Code 063711457
Phone Number 8604348300
Hospital Affiliation Ccn 1 070007
Hospital Affiliation Lbn 1 LAWRENCE & MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2 070020
Hospital Affiliation Lbn 2 MIDDLESEX HOSPITAL
Hospital Affiliation Ccn 3 070022
Hospital Affiliation Lbn 3 YALE-NEW HAVEN HOSPITAL
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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