Individual
MS. AMY MEGGAN PINKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4 MAIN ST., APT. 2, HUDSON, MA 01749-2109
(978) 835-6212
Mailing address
34 QUAIL RUN, SOUTHBRIDGE, MA 01550-3191
(978) 835-6212
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AP1964
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10074698
EMPLOYEE ID #
MA
Enumeration date
05/14/2007
Last updated
07/08/2007
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