Individual
MEGAN PANICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
85 SEYMOUR ST, SUITE 923, HARTFORD, CT 06106-5501
(860) 547-1876
(860) 520-1379
Mailing address
100 HAZARD AVE, STE 207, ENFIELD, CT 06082-5447
(860) 258-3470
(860) 571-6811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
049581
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
49581
CT
207RP1001X
Pulmonary Disease Physician
Primary
49581
CT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
49581
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49581
LICENSE
CT
Enumeration date
06/17/2008
Last updated
08/13/2020
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