Individual
MS. MEAGHAN ELIZABETH MORIARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
Mailing address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
—
—
363A00000X
Physician Assistant
Primary
PA01435
RI
Other
Enumeration date
04/10/2021
Last updated
05/04/2022
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