Individual
MEREDITH J BRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030
(860) 679-2804
(860) 679-1179
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-2804
(860) 679-1179
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4399
CT
363AM0700X
Medical Physician Assistant
4399
CT
363AS0400X
Surgical Physician Assistant
Primary
4399
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/11/2018
Last updated
12/16/2024
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