Individual
MS. MEGAN VIRGINIA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-5022
Mailing address
36 WILLIS ST APT 4A, BRISTOL, CT 06010-6846
(860) 806-8222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4621
CT
363AS0400X
Surgical Physician Assistant
Primary
4621
CT
Other
Enumeration date
10/12/2019
Last updated
02/03/2020
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