Individual
MEGAN PERUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1351 WHALLEY AVE, NEW HAVEN, CT 06515-1149
(475) 238-8178
Mailing address
401 MAPLE ST, WETHERSFIELD, CT 06109-3778
(603) 313-8697
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9179
CT
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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