Individual
MEGLIS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
34 MAPLE ST, NORWALK HOSPITAL, NORWALK, CT 06850-3815
(203) 852-2188
Mailing address
34 MAPLE ST, NORWALK HOSPITAL, NORWALK, CT 06850-3815
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002835
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002835
MEDICARE
CT
Enumeration date
10/18/2012
Last updated
10/18/2012
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