Individual
MEGAN M CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 442-2853
(774) 443-7042
Mailing address
133 OLD ROAD TO 9 ACRE COR, CONCORD, MA 01742-4159
(978) 369-1400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
262615
MA
Other
Enumeration date
06/12/2012
Last updated
06/22/2016
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