Individual
MEGAN G DESANTIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4 ELLIOT WAY, SUITE302, MANCHESTER, NH 03103-3547
(603) 627-1887
(603) 627-1890
Mailing address
35 QUAIL CT, MANCHESTER, NH 03109-5930
(603) 232-1976
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0462
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30332481
—
NH
Enumeration date
02/15/2006
Last updated
07/08/2007
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