Individual
MEGHAN ELIZABETH WOLF
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
HEALTH SERVICES TECH
Contact information
Practice address
15 MOHEGAN RD, GROTON, CT 06340-5504
(860) 444-8435
Mailing address
242 CHARTER OAK DR, GROTON, CT 06340-2909
(860) 444-8435
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
24720000X
CT
Other
Enumeration date
02/23/2006
Last updated
07/08/2007
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