Individual
MEGHAN DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6 NORTHWESTERN DR STE 305, BLOOMFIELD, CT 06002-3428
(860) 242-8591
(860) 242-2511
Mailing address
6 NORTHWESTERN DR STE 305, BLOOMFIELD, CT 06002-3428
(860) 242-8591
(860) 242-2511
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2861
CT
363AS0400X
Surgical Physician Assistant
MA054142
PA
Other
Enumeration date
11/19/2009
Last updated
10/03/2024
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