Organization
MERIDIAN HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS TAVAR (MANAGING DIRECTOR)
(203) 988-6900
Entity
Organization
Contact information
Practice address
30 N GOULD ST STE N, SHERIDAN, WY 82801-6317
(617) 872-3612
(203) 538-3478
Mailing address
PO BOX 990001, BOSTON, MA 02199-0001
(617) 872-3612
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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