Individual
MEGHAN MCCOOEY BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5891
(401) 444-8158
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01609
RI
363AM0700X
Medical Physician Assistant
PA9107576
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009958100
—
FL
01
—
PA9107576
MEDICAL LICENSE
FL
Enumeration date
10/29/2013
Last updated
09/07/2023
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