Provider Demographics
NPI:1295050086
Name:YOUNG, MELISSA RASAR (MD, PHD)
Entity type:Individual
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First Name:MELISSA
Middle Name:RASAR
Last Name:YOUNG
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Gender:F
Credentials:MD, PHD
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Mailing Address - Street 1:P.O. BOX 208040
Mailing Address - Street 2:333 CEDAR ST
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-8040
Mailing Address - Country:US
Mailing Address - Phone:203-200-2100
Mailing Address - Fax:203-785-4622
Practice Address - Street 1:35 PARK STREET
Practice Address - Street 2:SMILOW CANCER HOSPITAL - LOWER LEVEL
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510
Practice Address - Country:US
Practice Address - Phone:203-200-2100
Practice Address - Fax:203-785-4622
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-05
Last Update Date:2015-06-30
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Provider Licenses
StateLicense IDTaxonomies
CT539342085R0001X, 2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology