MELINDA PHOMMALINH

TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC

Dr MELINDA PHOMMALINH is a female medical professional, specializing in Physician Assistant. She graduated in 2017.

Contact

TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC

114 WOODLAND ST
HARTFORD
CT
061051208

Tel: 8607144097

MELINDA PHOMMALINH Information

Npi 1316454457
Pac Id 6608139142
Professional Enrollment Id I20180413001269
Last Name PHOMMALINH
First Name MELINDA
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
Group Practice Pac Id 0941113567
Number Of Group Practice Members 409
Line 1 Street Address 114 WOODLAND ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City HARTFORD
State CT
Zip Code 061051208
Phone Number 8607144097
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
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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