Individual
MEGAN S STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
406 FARMINGTON AVE, FARMINGTON, CT 06032-1964
(860) 677-3950
(860) 724-4397
Mailing address
406 FARMINGTON AVE, FARMINGTON, CT 06032-1964
(860) 677-3950
(860) 724-4397
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002926
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002926
STATE LICENSE
CT
Enumeration date
07/08/2013
Last updated
07/14/2016
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