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Edward Mamelok, LO

NPI 1588702559 · on the registry since 2007 · sole proprietor

Practice

Address
15 Arcadia Road
Old Greenwich, CT 06870
Phone
(203) 698-2255
Fax
(203) 698-2655

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut