Individual
MRS. MEGHAN B BRUNNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
34 WATER STREET, SUITE 2, MYSTIC, CT 06355
(860) 572-9994
(860) 572-9930
Mailing address
34 WATER STREET, SUITE 2, MYSTIC, CT 06355
(860) 572-9994
(860) 572-9930
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000967
CT
Other
Enumeration date
10/10/2006
Last updated
08/07/2019
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