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Individual

MEGAN JANE PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT, HARTFORD, CT 06102-5037
(860) 545-2840
Mailing address
P.O. BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 545-7602

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001845
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003018454
CT
Enumeration date
08/31/2005
Last updated
03/17/2011
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